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 $631.47 / $941.30 / $3,667.87	Professional		$631.47	$941.30	$3,667.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.37 / $1,544.96 / $1,931.19	Professional		$829.37	$1,544.96	$1,931.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $589.63 / $1,008.24 / $1,843.60	Professional		$589.63	$1,008.24	$1,843.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $827.90 / $1,547.30 / $5,023.00	Facility		$827.90	$1,547.30	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $787.51 / $1,409.74 / $4,641.04	Professional		$787.51	$1,409.74	$4,641.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $1,560.85 / $1,991.82	Facility		$1,207.00	$1,560.85	$1,991.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,143.95 / $1,538.07 / $1,991.82	Professional		$1,143.95	$1,538.07	$1,991.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $5,023.00 / $7,305.00	Facility		$2,679.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.45 / $984.39 / $1,815.87	Professional		$623.45	$984.39	$1,815.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $995.80 / $1,260.50 / $1,482.90	Professional		$995.80	$1,260.50	$1,482.90