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 $302.74 / $454.11 / $559.74	Professional		$302.74	$454.11	$559.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $496.13 / $2,650.64 / $6,017.02	Facility		$496.13	$2,650.64	$6,017.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.20 / $602.98 / $826.28	Professional		$581.20	$602.98	$826.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,579.55 / $1,986.54	Facility		$1,089.00	$1,579.55	$1,986.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $581.20 / $646.13 / $826.28	Professional		$581.20	$646.13	$826.28
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,243.60 / $2,840.00 / $2,840.00	Professional		$2,243.60	$2,840.00	$2,840.00