Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $699.36 / $746.94	Professional		$401.88	$699.36	$746.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.46 / $1,087.61 / $1,359.53	Professional		$802.46	$1,087.61	$1,359.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $437.71 / $686.91 / $1,468.44	Professional		$437.71	$686.91	$1,468.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.41 / $1,150.29 / $4,697.75	Facility		$640.41	$1,150.29	$4,697.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.15 / $914.32 / $3,532.00	Professional		$477.15	$914.32	$3,532.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $877.44 / $1,170.83 / $1,844.64	Facility		$877.44	$1,170.83	$1,844.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $700.73 / $1,018.42 / $1,384.02	Professional		$700.73	$1,018.42	$1,384.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,401.80 / $4,451.58 / $6,267.00	Facility		$2,401.80	$4,451.58	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.19 / $706.48 / $1,315.82	Professional		$463.19	$706.48	$1,315.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $739.20 / $935.70 / $1,100.80	Professional		$739.20	$935.70	$1,100.80