Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.76 / $2,373.01 / $5,084.45	Professional		$212.76	$2,373.01	$5,084.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.34 / $580.42 / $8,173.60	Professional		$464.34	$580.42	$8,173.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.52 / $3,180.27 / $4,389.16	Professional		$227.52	$3,180.27	$4,389.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $378.62 / $4,679.76 / $9,182.28	Facility		$378.62	$4,679.76	$9,182.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,426.17 / $7,120.08 / $15,930.66	Professional		$3,426.17	$7,120.08	$15,930.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $471.62 / $5,977.40 / $9,010.19	Facility		$471.62	$5,977.40	$9,010.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $471.62 / $5,977.40 / $9,298.17	Professional		$471.62	$5,977.40	$9,298.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,629.17 / $5,845.08 / $11,251.46	Professional		$3,629.17	$5,845.08	$11,251.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $415.90 / $489.20 / $6,200.80	Professional		$415.90	$489.20	$6,200.80