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 $517.85 / $858.59 / $911.15	Professional		$517.85	$858.59	$911.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.00 / $1,316.68 / $1,645.85	Professional		$1,027.00	$1,316.68	$1,645.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $535.03 / $852.15 / $1,733.27	Professional		$535.03	$852.15	$1,733.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $911.15 / $1,423.73 / $7,896.02	Facility		$911.15	$1,423.73	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $594.95 / $1,118.52 / $4,294.80	Professional		$594.95	$1,118.52	$4,294.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,066.17 / $1,528.52 / $2,961.89	Facility		$1,066.17	$1,528.52	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $855.30 / $1,291.83 / $1,691.00	Professional		$855.30	$1,291.83	$1,691.00
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 $567.90 / $865.38 / $1,611.76	Professional		$567.90	$865.38	$1,611.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $1,139.09 / $1,340.10	Professional		$899.89	$1,139.09	$1,340.10