Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.64 / $3,636.00 / $7,119.04	Facility		$1,210.64	$3,636.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.45 / $637.17 / $1,210.64	Professional		$370.45	$637.17	$1,210.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.82 / $1,145.54 / $1,575.73	Professional		$735.82	$1,145.54	$1,575.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $381.43 / $704.74 / $1,474.98	Professional		$381.43	$704.74	$1,474.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.17 / $1,050.13 / $6,608.00	Facility		$637.17	$1,050.13	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $517.91 / $991.56 / $3,570.93	Professional		$517.91	$991.56	$3,570.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $795.47 / $1,161.33 / $5,269.25	Facility		$795.47	$1,161.33	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $735.82 / $992.68 / $1,363.33	Professional		$735.82	$992.68	$1,363.33
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 $494.37 / $753.33 / $1,532.69	Professional		$494.37	$753.33	$1,532.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $788.10 / $927.10 / $1,248.00	Professional		$788.10	$927.10	$1,248.00