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 $464.25 / $812.51 / $1,158.79	Professional		$464.25	$812.51	$1,158.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.73 / $1,165.00 / $1,446.54	Professional		$1,011.73	$1,165.00	$1,446.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $493.64 / $801.90 / $2,277.48	Professional		$493.64	$801.90	$2,277.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.51 / $1,264.06 / $8,604.00	Facility		$812.51	$1,264.06	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $573.58 / $1,129.92 / $5,626.96	Professional		$573.58	$1,129.92	$5,626.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $934.21 / $1,188.84 / $1,554.93	Facility		$934.21	$1,188.84	$1,554.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $817.61 / $1,170.53 / $1,554.93	Professional		$817.61	$1,170.53	$1,554.93
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $532.79 / $901.19 / $1,629.80	Professional		$532.79	$901.19	$1,629.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $806.59 / $1,021.00 / $1,201.20	Professional		$806.59	$1,021.00	$1,201.20