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 $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.77 / $821.56 / $895.97	Professional		$716.77	$821.56	$895.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $475.78 / $1,946.59	Professional		$304.58	$475.78	$1,946.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.39 / $5,304.92 / $10,320.00	Facility		$490.39	$5,304.92	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.01 / $602.78 / $826.28	Professional		$581.01	$602.78	$826.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $3,151.30 / $3,929.20	Facility		$1,089.00	$3,151.30	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $581.01 / $645.91 / $826.28	Professional		$581.01	$645.91	$826.28
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $430.87 / $545.40 / $641.70	Professional		$430.87	$545.40	$641.70