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 $559.87 / $889.12 / $1,000.75	Professional		$559.87	$889.12	$1,000.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.15 / $1,443.67 / $1,804.59	Professional		$1,126.15	$1,443.67	$1,804.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.60 / $937.88 / $1,953.07	Professional		$588.60	$937.88	$1,953.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $931.92 / $1,495.10 / $7,896.02	Facility		$931.92	$1,495.10	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $655.39 / $1,219.22 / $4,715.43	Professional		$655.39	$1,219.22	$4,715.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $1,563.28 / $2,961.89	Facility		$1,122.00	$1,563.28	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $895.89 / $1,419.21 / $1,866.45	Professional		$895.89	$1,419.21	$1,866.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,180.89 / $6,840.79 / $9,751.77	Facility		$4,180.89	$6,840.79	$9,751.77
United Facility/Professional Professional Modifier Low / Median / High Price $625.60 / $953.30 / $1,886.87	Professional		$625.60	$953.30	$1,886.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $988.61 / $1,251.40 / $1,472.30	Professional		$988.61	$1,251.40	$1,472.30