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 $629.77 / $1,296.19 / $1,621.04	Professional		$629.77	$1,296.19	$1,621.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $2,024.10 / $2,530.13	Professional		$1,365.00	$2,024.10	$2,530.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.68 / $1,329.63 / $2,142.12	Professional		$891.68	$1,329.63	$2,142.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $921.98 / $1,700.18 / $2,711.04	Facility		$921.98	$1,700.18	$2,711.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $923.24 / $1,764.35 / $6,816.64	Professional		$923.24	$1,764.35	$6,816.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $780.14 / $1,620.83 / $2,254.57	Facility		$780.14	$1,620.83	$2,254.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,249.00 / $1,847.47 / $2,594.14	Professional		$1,249.00	$1,847.47	$2,594.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.21 / $1,370.37 / $2,788.10	Professional		$913.21	$1,370.37	$2,788.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,491.05 / $1,887.40 / $2,220.50	Professional		$1,491.05	$1,887.40	$2,220.50