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 $535.34 / $967.56 / $3,190.00	Professional		$535.34	$967.56	$3,190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.04 / $1,376.13 / $2,149.34	Professional		$588.04	$1,376.13	$2,149.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $499.59 / $884.86 / $1,543.92	Professional		$499.59	$884.86	$1,543.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $948.93 / $1,672.75 / $6,306.00	Facility		$948.93	$1,672.75	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $856.52 / $1,461.68 / $4,145.84	Professional		$856.52	$1,461.68	$4,145.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,164.63 / $1,614.54 / $2,054.87	Facility		$1,164.63	$1,614.54	$2,054.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,446.95 / $2,006.86	Professional		$1,040.08	$1,446.95	$2,006.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $783.97 / $1,142.03 / $2,141.31	Professional		$783.97	$1,142.03	$2,141.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,041.50 / $1,225.30 / $1,639.20	Professional		$1,041.50	$1,225.30	$1,639.20