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 $453.03 / $762.70 / $787.08	Professional		$453.03	$762.70	$787.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,121.54 / $1,387.77	Professional		$975.00	$1,121.54	$1,387.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $471.20 / $747.90 / $1,645.88	Professional		$471.20	$747.90	$1,645.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $727.08 / $1,255.26 / $7,123.00	Facility		$727.08	$1,255.26	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.53 / $995.27 / $3,700.56	Professional		$527.53	$995.27	$3,700.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,347.22 / $2,961.89	Facility		$953.00	$1,347.22	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $756.49 / $1,121.54 / $1,473.00	Professional		$756.49	$1,121.54	$1,473.00
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 $500.91 / $758.30 / $1,421.82	Professional		$500.91	$758.30	$1,421.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $781.23 / $988.90 / $1,163.50	Professional		$781.23	$988.90	$1,163.50