Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,421.00 / $4,604.83 / $8,042.03	Facility		$3,421.00	$4,604.83	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.16 / $821.27 / $1,596.90	Professional		$630.16	$821.27	$1,596.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.16 / $1,553.53 / $1,941.91	Professional		$797.16	$1,553.53	$1,941.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $612.29 / $862.47 / $1,592.90	Professional		$612.29	$862.47	$1,592.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,017.12 / $1,878.79 / $7,104.12	Facility		$1,017.12	$1,878.79	$7,104.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.79 / $1,342.87 / $2,367.13	Professional		$758.79	$1,342.87	$2,367.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,614.54 / $2,055.42	Facility		$1,089.00	$1,614.54	$2,055.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,051.98 / $1,444.05 / $2,055.42	Professional		$1,051.98	$1,444.05	$2,055.42
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 $703.42 / $1,043.73 / $1,938.89	Professional		$703.42	$1,043.73	$1,938.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,008.04 / $1,396.10 / $1,501.20	Professional		$1,008.04	$1,396.10	$1,501.20