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 / $9,185.68	Facility		$4,146.00	$5,091.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.03 / $809.73 / $2,188.00	Professional		$474.03	$809.73	$2,188.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.39 / $1,272.27 / $1,590.34	Professional		$991.39	$1,272.27	$1,590.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $516.54 / $800.12 / $1,623.37	Professional		$516.54	$800.12	$1,623.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $755.22 / $1,363.28 / $7,123.00	Facility		$755.22	$1,363.28	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $566.99 / $1,074.43 / $9,877.00	Professional		$566.99	$1,074.43	$9,877.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,030.19 / $1,429.14 / $2,961.89	Facility		$1,030.19	$1,429.14	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $806.29 / $1,248.17 / $1,632.82	Professional		$806.29	$1,248.17	$1,632.82
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 $547.65 / $834.51 / $1,554.28	Professional		$547.65	$834.51	$1,554.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $869.47 / $1,100.59 / $1,294.80	Professional		$869.47	$1,100.59	$1,294.80