Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,119.48 / $4,604.83 / $8,042.03	Facility		$2,119.48	$4,604.83	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.16 / $801.32 / $3,569.00	Professional		$629.16	$801.32	$3,569.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.54 / $1,614.34 / $2,048.19	Professional		$676.54	$1,614.34	$2,048.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $560.03 / $931.94 / $1,759.84	Professional		$560.03	$931.94	$1,759.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,842.14 / $6,306.00	Facility		$1,089.00	$1,842.14	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $859.61 / $1,614.34 / $5,606.00	Professional		$859.61	$1,614.34	$5,606.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,205.67 / $1,678.30 / $2,054.87	Facility		$1,205.67	$1,678.30	$2,054.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,129.00 / $1,576.78 / $2,071.71	Professional		$1,129.00	$1,576.78	$2,071.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,854.53 / $7,407.10	Facility		$3,711.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $800.92 / $1,178.21 / $2,177.08	Professional		$800.92	$1,178.21	$2,177.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.50 / $1,440.40 / $1,710.40	Professional		$1,148.50	$1,440.40	$1,710.40