Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.58 / $813.98 / $2,319.78	Professional		$498.58	$813.98	$2,319.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.83 / $1,156.96 / $1,565.02	Professional		$584.83	$1,156.96	$1,565.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.48 / $691.22 / $1,205.17	Professional		$369.48	$691.22	$1,205.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $604.66 / $1,066.32 / $5,023.00	Facility		$604.66	$1,066.32	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.98 / $986.69 / $2,990.96	Professional		$549.98	$986.69	$2,990.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $859.53 / $1,277.06 / $1,913.58	Facility		$859.53	$1,277.06	$1,913.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $728.02 / $1,001.84 / $1,457.28	Professional		$728.02	$1,001.84	$1,457.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,401.80 / $4,451.58 / $7,305.00	Facility		$2,401.80	$4,451.58	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.05 / $717.36 / $1,342.03	Professional		$526.05	$717.36	$1,342.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $730.40 / $859.30 / $1,144.59	Professional		$730.40	$859.30	$1,144.59