Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $722.89 / $797.21	Professional		$447.70	$722.89	$797.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.48 / $1,159.30 / $1,449.13	Professional		$901.48	$1,159.30	$1,449.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.26 / $743.37 / $1,922.62	Professional		$467.26	$743.37	$1,922.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $797.21 / $1,247.68 / $7,896.02	Facility		$797.21	$1,247.68	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $517.01 / $987.02 / $4,332.49	Professional		$517.01	$987.02	$4,332.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $935.40 / $1,337.07 / $2,961.89	Facility		$935.40	$1,337.07	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.40 / $1,125.02 / $1,471.45	Professional		$720.40	$1,125.02	$1,471.45
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 $493.51 / $752.02 / $1,400.63	Professional		$493.51	$752.02	$1,400.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $788.89 / $998.60 / $1,174.80	Professional		$788.89	$998.60	$1,174.80