Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.22 / $853.46 / $896.61	Professional		$498.22	$853.46	$896.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.00 / $1,257.05 / $1,537.75	Professional		$1,057.00	$1,257.05	$1,537.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $481.58 / $757.37 / $2,249.67	Professional		$481.58	$757.37	$2,249.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.62 / $1,398.84 / $9,224.20	Facility		$821.62	$1,398.84	$9,224.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $1,116.80 / $4,935.14	Professional		$581.16	$1,116.80	$4,935.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,057.00 / $1,413.64 / $5,383.60	Facility		$1,057.00	$1,413.64	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $749.00 / $1,173.94 / $1,656.93	Professional		$749.00	$1,173.94	$1,656.93
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 $554.75 / $979.69 / $1,574.42	Professional		$554.75	$979.69	$1,574.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $817.73 / $1,035.09 / $1,217.80	Professional		$817.73	$1,035.09	$1,217.80