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 $485.85 / $716.44 / $1,093.53	Professional		$485.85	$716.44	$1,093.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.26 / $1,407.83 / $2,205.83	Professional		$884.26	$1,407.83	$2,205.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $523.88 / $880.02 / $1,469.86	Professional		$523.88	$880.02	$1,469.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.26 / $1,218.31 / $5,327.00	Facility		$691.26	$1,218.31	$5,327.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.54 / $1,220.24 / $4,505.52	Professional		$602.54	$1,220.24	$4,505.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $884.26 / $1,214.44 / $1,740.50	Facility		$884.26	$1,214.44	$1,740.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $1,292.97 / $1,816.87	Professional		$837.00	$1,292.97	$1,816.87
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 $592.35 / $947.76 / $1,785.01	Professional		$592.35	$947.76	$1,785.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,137.13 / $1,356.70 / $1,693.50	Professional		$1,137.13	$1,356.70	$1,693.50