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 $628.73 / $990.98 / $1,137.91	Professional		$628.73	$990.98	$1,137.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.63 / $1,586.25 / $1,982.81	Professional		$1,286.63	$1,586.25	$1,982.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $647.54 / $1,032.02 / $2,141.66	Professional		$647.54	$1,032.02	$2,141.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $906.03 / $1,674.76 / $7,896.02	Facility		$906.03	$1,674.76	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.91 / $1,352.17 / $5,185.35	Professional		$720.91	$1,352.17	$5,185.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,286.63 / $1,849.84 / $2,961.89	Facility		$1,286.63	$1,849.84	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,048.40 / $1,560.40 / $2,053.57	Professional		$1,048.40	$1,560.40	$2,053.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.42 / $1,048.58 / $1,966.11	Professional		$687.42	$1,048.58	$1,966.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,086.96 / $1,375.90 / $1,618.70	Professional		$1,086.96	$1,375.90	$1,618.70