Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.88 / $916.36 / $1,455.80	Professional		$721.88	$916.36	$1,455.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.64 / $1,901.78 / $2,377.23	Professional		$953.64	$1,901.78	$2,377.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $732.82 / $1,042.38 / $1,743.58	Professional		$732.82	$1,042.38	$1,743.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,031.59 / $2,219.42 / $6,945.09	Facility		$1,031.59	$2,219.42	$6,945.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $867.24 / $1,440.75 / $2,607.46	Professional		$867.24	$1,440.75	$2,607.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,953.11 / $2,485.77	Facility		$1,285.00	$1,953.11	$2,485.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,163.14 / $1,621.18 / $2,271.87	Professional		$1,163.14	$1,621.18	$2,271.87
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 $793.02 / $1,208.42 / $2,231.77	Professional		$793.02	$1,208.42	$2,231.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,222.21 / $1,692.70 / $1,820.10	Professional		$1,222.21	$1,692.70	$1,820.10