Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.09 / $1,120.46 / $1,169.48	Professional		$682.09	$1,120.46	$1,169.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.00 / $1,657.15 / $2,071.42	Professional		$1,281.00	$1,657.15	$2,071.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.33 / $1,054.14 / $2,379.44	Professional		$678.33	$1,054.14	$2,379.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $979.19 / $1,829.50 / $7,123.00	Facility		$979.19	$1,829.50	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $796.71 / $1,504.71 / $5,501.68	Professional		$796.71	$1,504.71	$5,501.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,281.00 / $1,829.50 / $2,961.89	Facility		$1,281.00	$1,829.50	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,192.34 / $1,592.42 / $2,218.10	Professional		$1,192.34	$1,592.42	$2,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.49 / $1,158.84 / $2,357.75	Professional		$760.49	$1,158.84	$2,357.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,109.24 / $1,404.10 / $1,651.90	Professional		$1,109.24	$1,404.10	$1,651.90