Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.59 / $923.96 / $986.83	Professional		$559.59	$923.96	$986.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.00 / $1,428.87 / $1,786.09	Professional		$1,129.00	$1,428.87	$1,786.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $580.15 / $923.87 / $1,902.76	Professional		$580.15	$923.87	$1,902.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $919.54 / $1,543.34 / $11,139.12	Facility		$919.54	$1,543.34	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $644.91 / $1,266.00 / $4,655.76	Professional		$644.91	$1,266.00	$4,655.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,155.74 / $1,656.87 / $6,616.19	Facility		$1,155.74	$1,656.87	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $926.96 / $1,401.01 / $1,827.83	Professional		$926.96	$1,401.01	$1,827.83
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 $615.08 / $938.06 / $1,747.14	Professional		$615.08	$938.06	$1,747.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $975.97 / $1,235.40 / $1,453.40	Professional		$975.97	$1,235.40	$1,453.40