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 $502.43 / $859.08 / $3,143.28	Professional		$502.43	$859.08	$3,143.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.15 / $1,502.69 / $1,537.70	Professional		$1,202.15	$1,502.69	$1,537.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $534.69 / $974.67 / $1,806.46	Professional		$534.69	$974.67	$1,806.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,188.01 / $2,276.73 / $9,495.24	Facility		$1,188.01	$2,276.73	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.80 / $1,313.19 / $2,306.21	Professional		$690.80	$1,313.19	$2,306.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,684.40 / $3,018.60	Facility		$1,089.00	$1,684.40	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $875.19 / $1,290.48 / $1,684.40	Professional		$875.19	$1,290.48	$1,684.40
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 $640.62 / $1,129.31 / $1,796.14	Professional		$640.62	$1,129.31	$1,796.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $907.16 / $1,148.30 / $1,351.00	Professional		$907.16	$1,148.30	$1,351.00