Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.59 / $671.50 / $725.45	Professional		$412.59	$671.50	$725.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.00 / $1,053.33 / $1,316.68	Professional		$831.00	$1,053.33	$1,316.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $425.51 / $692.21 / $1,410.18	Professional		$425.51	$692.21	$1,410.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $725.45 / $1,136.51 / $7,896.02	Facility		$725.45	$1,136.51	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.11 / $916.26 / $3,827.26	Professional		$473.11	$916.26	$3,827.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $851.46 / $1,216.16 / $2,961.89	Facility		$851.46	$1,216.16	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $669.08 / $1,029.83 / $1,349.58	Professional		$669.08	$1,029.83	$1,349.58
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.61 / $688.16 / $1,281.70	Professional		$451.61	$688.16	$1,281.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $717.40 / $908.10 / $1,068.30	Professional		$717.40	$908.10	$1,068.30