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 $845.99 / $1,586.91 / $4,014.00	Professional		$845.99	$1,586.91	$4,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.41 / $2,063.06 / $2,578.82	Professional		$994.41	$2,063.06	$2,578.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $793.40 / $1,121.65 / $2,366.77	Professional		$793.40	$1,121.65	$2,366.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $2,234.82 / $7,104.12	Facility		$1,089.00	$2,234.82	$7,104.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $897.32 / $1,537.18 / $2,795.82	Professional		$897.32	$1,537.18	$2,795.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,220.00 / $1,842.31 / $2,409.64	Facility		$1,220.00	$1,842.31	$2,409.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,196.52 / $1,762.15 / $2,409.64	Professional		$1,196.52	$1,762.15	$2,409.64
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 $859.61 / $1,280.14 / $2,400.27	Professional		$859.61	$1,280.14	$2,400.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,324.36 / $1,834.10 / $1,972.20	Professional		$1,324.36	$1,834.10	$1,972.20