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 $491.64 / $812.58 / $856.27	Professional		$491.64	$812.58	$856.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.00 / $1,235.65 / $1,544.57	Professional		$956.00	$1,235.65	$1,544.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $503.78 / $802.68 / $1,855.09	Professional		$503.78	$802.68	$1,855.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $685.64 / $1,207.26 / $2,142.52	Facility		$685.64	$1,207.26	$2,142.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.29 / $1,059.66 / $4,241.68	Professional		$549.29	$1,059.66	$4,241.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $602.20 / $1,089.00 / $1,338.32	Facility		$602.20	$1,089.00	$1,338.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $810.16 / $1,110.21 / $1,598.81	Professional		$810.16	$1,110.21	$1,598.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.52 / $816.03 / $1,519.86	Professional		$535.52	$816.03	$1,519.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $846.17 / $1,071.09 / $1,260.09	Professional		$846.17	$1,071.09	$1,260.09