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 $569.96 / $1,057.20 / $1,157.40	Professional		$569.96	$1,057.20	$1,157.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.00 / $1,827.77 / $2,284.71	Professional		$1,139.00	$1,827.77	$2,284.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $788.33 / $1,125.83 / $2,016.49	Professional		$788.33	$1,125.83	$2,016.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,085.06 / $1,782.40 / $5,015.03	Facility		$1,085.06	$1,782.40	$5,015.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $755.13 / $1,412.09 / $6,511.95	Professional		$755.13	$1,412.09	$6,511.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,642.27 / $2,305.90	Facility		$1,139.00	$1,642.27	$2,305.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $970.00 / $1,642.27 / $2,305.90	Professional		$970.00	$1,642.27	$2,305.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.45 / $1,208.21 / $2,265.39	Professional		$737.45	$1,208.21	$2,265.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,326.25 / $1,678.80 / $1,975.10	Professional		$1,326.25	$1,678.80	$1,975.10