Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.94 / $754.59 / $812.17	Professional		$403.94	$754.59	$812.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.26 / $1,171.77 / $1,464.71	Professional		$784.26	$1,171.77	$1,464.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $493.93 / $701.38 / $1,504.20	Professional		$493.93	$701.38	$1,504.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.56 / $1,250.74 / $7,123.00	Facility		$675.56	$1,250.74	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $497.01 / $978.12 / $3,855.60	Professional		$497.01	$978.12	$3,855.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $784.26 / $1,275.22 / $2,961.89	Facility		$784.26	$1,275.22	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $623.00 / $1,109.63 / $1,448.40	Professional		$623.00	$1,109.63	$1,448.40
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 $449.67 / $757.34 / $1,410.55	Professional		$449.67	$757.34	$1,410.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $836.53 / $1,058.90 / $1,245.80	Professional		$836.53	$1,058.90	$1,245.80