Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.61 / $1,013.38 / $1,568.04	Professional		$618.61	$1,013.38	$1,568.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.60 / $1,533.27 / $1,916.59	Professional		$971.60	$1,533.27	$1,916.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $617.77 / $924.77 / $1,597.54	Professional		$617.77	$924.77	$1,597.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $847.26 / $1,751.10 / $9,495.24	Facility		$847.26	$1,751.10	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $725.83 / $1,180.27 / $2,063.78	Professional		$725.83	$1,180.27	$2,063.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $1,989.12 / $3,914.66	Facility		$1,064.00	$1,989.12	$3,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $890.36 / $1,371.58 / $1,957.61	Professional		$890.36	$1,371.58	$1,957.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.28 / $946.74 / $1,752.31	Professional		$694.28	$946.74	$1,752.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $958.27 / $1,213.00 / $1,427.10	Professional		$958.27	$1,213.00	$1,427.10