Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.27 / $1,498.61 / $4,014.00	Professional		$799.27	$1,498.61	$4,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.57 / $1,958.66 / $2,448.32	Professional		$910.57	$1,958.66	$2,448.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $1,016.24 / $2,235.35	Professional		$748.84	$1,016.24	$2,235.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,056.17 / $2,289.09 / $9,874.90	Facility		$1,056.17	$2,289.09	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $824.67 / $1,416.32 / $2,643.59	Professional		$824.67	$1,416.32	$2,643.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,135.00 / $2,252.64 / $3,123.31	Facility		$1,135.00	$2,252.64	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,117.82 / $1,665.86 / $2,252.64	Professional		$1,117.82	$1,665.86	$2,252.64
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 $812.99 / $1,199.52 / $2,220.90	Professional		$812.99	$1,199.52	$2,220.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,254.59 / $1,737.60 / $1,868.30	Professional		$1,254.59	$1,737.60	$1,868.30