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 $583.27 / $957.01 / $3,634.75	Professional		$583.27	$957.01	$3,634.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.56 / $1,448.35 / $1,810.43	Professional		$923.56	$1,448.35	$1,810.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $583.15 / $872.25 / $1,444.34	Professional		$583.15	$872.25	$1,444.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $811.55 / $1,455.92 / $5,988.00	Facility		$811.55	$1,455.92	$5,988.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.02 / $1,073.25 / $1,899.10	Professional		$660.02	$1,073.25	$1,899.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $1,274.90 / $1,706.95	Facility		$927.00	$1,274.90	$1,706.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $805.71 / $1,220.40 / $1,775.34	Professional		$805.71	$1,220.40	$1,775.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.32 / $897.67 / $1,853.07	Professional		$631.32	$897.67	$1,853.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $907.24 / $1,148.40 / $1,351.10	Professional		$907.24	$1,148.40	$1,351.10