Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.11 / $645.01 / $822.59	Professional		$401.11	$645.01	$822.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.00 / $1,199.03 / $1,498.79	Professional		$858.00	$1,199.03	$1,498.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $483.34 / $742.70 / $1,978.23	Professional		$483.34	$742.70	$1,978.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $739.46 / $1,198.14 / $4,873.45	Facility		$739.46	$1,198.14	$4,873.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.83 / $936.58 / $3,888.88	Professional		$509.83	$936.58	$3,888.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $966.28 / $1,257.44 / $1,613.27	Facility		$966.28	$1,257.44	$1,613.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $1,022.78 / $1,515.44	Professional		$679.22	$1,022.78	$1,515.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.42 / $774.24 / $1,442.02	Professional		$507.42	$774.24	$1,442.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $815.75 / $1,032.59 / $1,214.80	Professional		$815.75	$1,032.59	$1,214.80