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 $559.29 / $652.49 / $974.43	Professional		$559.29	$652.49	$974.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.14 / $1,412.51 / $1,765.64	Professional		$1,100.14	$1,412.51	$1,765.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $573.21 / $912.95 / $1,972.22	Professional		$573.21	$912.95	$1,972.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $788.98 / $1,500.62 / $7,896.02	Facility		$788.98	$1,500.62	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $636.04 / $1,199.31 / $4,597.92	Professional		$636.04	$1,199.31	$4,597.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,141.60 / $1,634.40 / $2,961.89	Facility		$1,141.60	$1,634.40	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $1,384.99 / $1,812.91	Professional		$874.00	$1,384.99	$1,812.91
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 $607.14 / $925.17 / $1,723.13	Professional		$607.14	$925.17	$1,723.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $964.83 / $1,221.30 / $1,436.80	Professional		$964.83	$1,221.30	$1,436.80