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 $710.64 / $1,120.94 / $1,303.52	Professional		$710.64	$1,120.94	$1,303.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.95 / $1,788.03 / $2,235.04	Professional		$1,453.95	$1,788.03	$2,235.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $733.77 / $1,170.30 / $2,434.00	Professional		$733.77	$1,170.30	$2,434.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,053.47 / $1,896.50 / $7,896.02	Facility		$1,053.47	$1,896.50	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $819.37 / $1,548.98 / $5,862.96	Professional		$819.37	$1,548.98	$5,862.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,453.95 / $2,097.55 / $2,961.89	Facility		$1,453.95	$2,097.55	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,183.72 / $1,764.18 / $2,333.84	Professional		$1,183.72	$1,764.18	$2,333.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,405.00 / $9,874.90	Facility		$4,700.00	$7,405.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $781.36 / $1,191.81 / $2,234.64	Professional		$781.36	$1,191.81	$2,234.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,228.92 / $1,555.60 / $1,830.10	Professional		$1,228.92	$1,555.60	$1,830.10