Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $858.71 / $921.27	Professional		$516.91	$858.71	$921.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.16 / $1,329.92 / $1,662.40	Professional		$1,035.16	$1,329.92	$1,662.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $536.05 / $843.92 / $2,326.46	Professional		$536.05	$843.92	$2,326.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $1,398.77 / $11,869.99	Facility		$843.00	$1,398.77	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $605.22 / $1,129.55 / $5,007.80	Professional		$605.22	$1,129.55	$5,007.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,075.38 / $1,433.47 / $5,383.60	Facility		$1,075.38	$1,433.47	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $865.89 / $1,216.68 / $1,716.20	Professional		$865.89	$1,216.68	$1,716.20
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 $573.92 / $880.32 / $1,639.60	Professional		$573.92	$880.32	$1,639.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $902.42 / $1,142.30 / $1,343.90	Professional		$902.42	$1,142.30	$1,343.90