Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.33 / $945.82 / $1,141.64	Professional		$554.33	$945.82	$1,141.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.31 / $1,498.37 / $1,823.09	Professional		$1,179.31	$1,498.37	$1,823.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $626.25 / $1,001.10 / $2,597.21	Professional		$626.25	$1,001.10	$2,597.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $757.47 / $1,498.37 / $12,342.67	Facility		$757.47	$1,498.37	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $675.01 / $1,274.93 / $4,930.88	Professional		$675.01	$1,274.93	$4,930.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,085.00 / $1,504.35 / $1,937.02	Facility		$1,085.00	$1,504.35	$1,937.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $894.55 / $1,480.98 / $1,880.63	Professional		$894.55	$1,480.98	$1,880.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $649.85 / $990.24 / $1,856.70	Professional		$649.85	$990.24	$1,856.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.94 / $1,326.50 / $1,560.60	Professional		$1,047.94	$1,326.50	$1,560.60