Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.82 / $3,259.25 / $7,119.04	Facility		$1,897.82	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.15 / $1,318.08 / $3,056.22	Professional		$178.15	$1,318.08	$3,056.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.30 / $2,920.66 / $3,974.16	Professional		$436.30	$2,920.66	$3,974.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $262.51 / $1,753.14 / $4,494.67	Professional		$262.51	$1,753.14	$4,494.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.90 / $2,188.12 / $4,189.35	Facility		$338.90	$2,188.12	$4,189.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $4,543.25 / $9,275.17	Professional		$548.26	$4,543.25	$9,275.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $481.50 / $3,092.05 / $5,422.99	Facility		$481.50	$3,092.05	$5,422.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $441.77 / $2,920.66 / $5,422.99	Professional		$441.77	$2,920.66	$5,422.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,346.19 / $4,731.51 / $6,471.61	Professional		$2,346.19	$4,731.51	$6,471.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $476.50 / $3,150.20	Professional		$405.00	$476.50	$3,150.20