Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $1,170.90 / $1,948.17	Professional		$306.45	$1,170.90	$1,948.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.48 / $2,590.96 / $3,467.97	Professional		$675.48	$2,590.96	$3,467.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $285.85 / $1,620.71 / $2,375.37	Professional		$285.85	$1,620.71	$2,375.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $726.65 / $2,886.53 / $8,545.00	Facility		$726.65	$2,886.53	$8,545.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.76 / $2,590.96 / $5,036.00	Professional		$707.76	$2,590.96	$5,036.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $711.21 / $2,557.79 / $3,473.81	Facility		$711.21	$2,557.79	$3,473.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $678.31 / $2,268.33 / $3,473.81	Professional		$678.31	$2,268.33	$3,473.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,394.88 / $2,721.68 / $3,948.48	Professional		$1,394.88	$2,721.68	$3,948.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $621.90 / $731.60 / $2,794.60	Professional		$621.90	$731.60	$2,794.60