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 $611.55 / $955.96 / $1,069.33	Professional		$611.55	$955.96	$1,069.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.41 / $1,535.47 / $1,845.49	Professional		$1,306.41	$1,535.47	$1,845.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $632.64 / $1,090.54 / $2,031.87	Professional		$632.64	$1,090.54	$2,031.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $955.96 / $1,490.54 / $1,844.13	Facility		$955.96	$1,490.54	$1,844.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.56 / $1,365.05 / $4,956.56	Professional		$721.56	$1,365.05	$4,956.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $997.29 / $1,573.86 / $2,041.36	Facility		$997.29	$1,573.86	$2,041.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $997.29 / $1,490.54 / $2,041.36	Professional		$997.29	$1,490.54	$2,041.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.76 / $1,033.83 / $1,967.88	Professional		$688.76	$1,033.83	$1,967.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,038.30 / $1,314.30 / $1,546.20	Professional		$1,038.30	$1,314.30	$1,546.20