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 $456.80 / $782.28 / $870.29	Professional		$456.80	$782.28	$870.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.00 / $1,149.88 / $1,433.54	Professional		$1,001.00	$1,149.88	$1,433.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $475.79 / $775.58 / $1,821.98	Professional		$475.79	$775.58	$1,821.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.28 / $1,287.08 / $9,224.20	Facility		$782.28	$1,287.08	$9,224.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $558.40 / $1,070.76 / $5,937.38	Professional		$558.40	$1,070.76	$5,937.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,001.00 / $1,287.08 / $6,812.52	Facility		$1,001.00	$1,287.08	$6,812.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $827.00 / $1,143.39 / $1,492.32	Professional		$827.00	$1,143.39	$1,492.32
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 $518.11 / $845.80 / $1,534.17	Professional		$518.11	$845.80	$1,534.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $762.98 / $965.80 / $1,136.30	Professional		$762.98	$965.80	$1,136.30