Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.57 / $832.38 / $903.79	Professional		$511.57	$832.38	$903.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.35 / $1,307.33 / $1,634.16	Professional		$1,018.35	$1,307.33	$1,634.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $530.39 / $844.59 / $1,742.54	Professional		$530.39	$844.59	$1,742.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $799.12 / $1,412.73 / $7,896.02	Facility		$799.12	$1,412.73	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.80 / $1,134.00 / $4,332.49	Professional		$588.80	$1,134.00	$4,332.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $1,514.16 / $2,961.89	Facility		$1,004.00	$1,514.16	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.53 / $1,279.31 / $1,673.25	Professional		$831.53	$1,279.31	$1,673.25
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 $562.04 / $856.45 / $1,595.13	Professional		$562.04	$856.45	$1,595.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $892.78 / $1,130.09 / $1,329.60	Professional		$892.78	$1,130.09	$1,329.60