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 $471.98 / $793.64 / $2,015.00	Professional		$471.98	$793.64	$2,015.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.46 / $1,190.46 / $1,488.08	Professional		$865.46	$1,190.46	$1,488.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.76 / $680.80 / $1,329.41	Professional		$489.76	$680.80	$1,329.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $546.22 / $1,272.28 / $6,608.00	Facility		$546.22	$1,272.28	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.82 / $1,021.17 / $3,922.80	Professional		$521.82	$1,021.17	$3,922.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $898.80 / $1,323.87 / $2,256.42	Facility		$898.80	$1,323.87	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $668.00 / $1,173.94 / $1,419.79	Professional		$668.00	$1,173.94	$1,419.79
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 $474.20 / $798.66 / $1,447.32	Professional		$474.20	$798.66	$1,447.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $817.73 / $1,035.09 / $1,217.80	Professional		$817.73	$1,035.09	$1,217.80