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 $562.79 / $920.38 / $985.82	Professional		$562.79	$920.38	$985.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.59 / $1,424.97 / $1,781.22	Professional		$1,110.59	$1,424.97	$1,781.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.55 / $919.77 / $1,901.43	Professional		$579.55	$919.77	$1,901.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $983.70 / $1,540.95 / $7,896.02	Facility		$983.70	$1,540.95	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $644.41 / $1,211.08 / $4,648.39	Professional		$644.41	$1,211.08	$4,648.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,540.95 / $2,961.89	Facility		$1,089.00	$1,540.95	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $927.95 / $1,398.83 / $1,836.55	Professional		$927.95	$1,398.83	$1,836.55
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 $614.39 / $937.34 / $1,745.80	Professional		$614.39	$937.34	$1,745.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $974.39 / $1,233.40 / $1,451.10	Professional		$974.39	$1,233.40	$1,451.10