Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.73 / $721.70 / $1,048.23	Professional		$488.73	$721.70	$1,048.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.22 / $1,444.68 / $1,904.90	Professional		$985.22	$1,444.68	$1,904.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.88 / $888.97 / $2,450.62	Professional		$467.88	$888.97	$2,450.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $764.22 / $1,333.60 / $6,608.00	Facility		$764.22	$1,333.60	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $693.81 / $1,299.32 / $4,729.80	Professional		$693.81	$1,299.32	$4,729.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,114.99 / $1,535.41 / $5,269.25	Facility		$1,114.99	$1,535.41	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $909.39 / $1,277.71 / $1,793.08	Professional		$909.39	$1,277.71	$1,793.08
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 $662.28 / $1,009.18 / $1,879.61	Professional		$662.28	$1,009.18	$1,879.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $983.20 / $1,156.70 / $1,498.70	Professional		$983.20	$1,156.70	$1,498.70