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 $566.74 / $911.06 / $973.97	Professional		$566.74	$911.06	$973.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.00 / $1,421.21 / $1,736.42	Professional		$1,177.00	$1,421.21	$1,736.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $570.77 / $883.67 / $2,137.12	Professional		$570.77	$883.67	$2,137.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $850.88 / $1,515.01 / $11,869.99	Facility		$850.88	$1,515.01	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.30 / $1,225.33 / $6,589.56	Professional		$661.30	$1,225.33	$6,589.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,138.40 / $1,515.01 / $5,383.60	Facility		$1,138.40	$1,515.01	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $931.29 / $1,345.70 / $1,877.10	Professional		$931.29	$1,345.70	$1,877.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $631.24 / $961.89 / $1,791.52	Professional		$631.24	$961.89	$1,791.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $937.41 / $1,186.59 / $1,396.00	Professional		$937.41	$1,186.59	$1,396.00