Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.40 / $893.93 / $3,608.66	Professional		$663.40	$893.93	$3,608.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.25 / $1,602.12 / $2,049.03	Professional		$831.25	$1,602.12	$2,049.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $546.44 / $985.73 / $1,737.44	Professional		$546.44	$985.73	$1,737.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $807.27 / $1,502.39 / $5,497.82	Facility		$807.27	$1,502.39	$5,497.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $789.90 / $1,355.10 / $4,406.80	Professional		$789.90	$1,355.10	$4,406.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $1,560.85 / $1,962.18	Facility		$1,165.00	$1,560.85	$1,962.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,097.38 / $1,461.13 / $1,945.61	Professional		$1,097.38	$1,461.13	$1,945.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.31 / $967.89 / $1,874.78	Professional		$745.31	$967.89	$1,874.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,015.86 / $1,266.00 / $1,512.90	Professional		$1,015.86	$1,266.00	$1,512.90