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 $808.87 / $1,516.63 / $3,419.00	Professional		$808.87	$1,516.63	$3,419.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.74 / $1,982.03 / $2,477.54	Professional		$927.74	$1,982.03	$2,477.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.08 / $1,037.21 / $2,267.25	Professional		$758.08	$1,037.21	$2,267.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,030.64 / $2,316.71 / $9,874.90	Facility		$1,030.64	$2,316.71	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $835.77 / $1,454.34 / $2,673.82	Professional		$835.77	$1,454.34	$2,673.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,155.00 / $2,316.71 / $3,729.54	Facility		$1,155.00	$2,316.71	$3,729.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,135.02 / $1,686.46 / $2,285.10	Professional		$1,135.02	$1,686.46	$2,285.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,859.18 / $7,091.00 / $10,320.00	Facility		$4,859.18	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.55 / $1,215.66 / $2,250.21	Professional		$826.55	$1,215.66	$2,250.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,269.53 / $1,758.30 / $1,890.60	Professional		$1,269.53	$1,758.30	$1,890.60