Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.80 / $1,098.08 / $1,293.57	Professional		$639.80	$1,098.08	$1,293.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.78 / $1,442.89 / $2,119.15	Professional		$735.78	$1,442.89	$2,119.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $531.04 / $881.15 / $1,694.01	Professional		$531.04	$881.15	$1,694.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $1,830.18 / $6,306.00	Facility		$1,121.00	$1,830.18	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $832.01 / $1,591.70 / $4,696.32	Professional		$832.01	$1,591.70	$4,696.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $1,704.14 / $2,308.21	Facility		$1,121.00	$1,704.14	$2,308.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,121.00 / $1,558.96 / $1,972.02	Professional		$1,121.00	$1,558.96	$1,972.02
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 $770.98 / $1,121.42 / $2,280.79	Professional		$770.98	$1,121.42	$2,280.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,089.25 / $1,378.80 / $1,622.10	Professional		$1,089.25	$1,378.80	$1,622.10