Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.19 / $937.10 / $1,129.83	Professional		$557.19	$937.10	$1,129.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.00 / $1,537.67 / $2,079.21	Professional		$1,030.00	$1,537.67	$2,079.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $521.69 / $931.96 / $2,215.04	Professional		$521.69	$931.96	$2,215.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $734.96 / $1,449.31 / $3,396.00	Facility		$734.96	$1,449.31	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $682.68 / $1,409.44 / $4,376.32	Professional		$682.68	$1,409.44	$4,376.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,030.00 / $1,311.69 / $1,837.71	Facility		$1,030.00	$1,311.69	$1,837.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $971.37 / $1,455.80 / $1,896.61	Professional		$971.37	$1,455.80	$1,896.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $4,878.97 / $6,267.00	Facility		$2,679.00	$4,878.97	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.99 / $1,040.27 / $1,937.51	Professional		$671.99	$1,040.27	$1,937.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,078.82 / $1,337.90 / $1,606.60	Professional		$1,078.82	$1,337.90	$1,606.60