Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.63 / $806.32 / $1,042.92	Professional		$585.63	$806.32	$1,042.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.00 / $1,459.25 / $1,824.07	Professional		$1,189.00	$1,459.25	$1,824.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.34 / $950.58 / $1,958.37	Professional		$596.34	$950.58	$1,958.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,013.39 / $1,578.69 / $20,063.05	Facility		$1,013.39	$1,578.69	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $664.10 / $1,266.81 / $4,773.12	Professional		$664.10	$1,266.81	$4,773.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,189.00 / $1,681.00 / $18,712.12	Facility		$1,189.00	$1,681.00	$18,712.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $957.10 / $1,436.67 / $1,890.27	Professional		$957.10	$1,436.67	$1,890.27
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $633.91 / $965.97 / $1,775.99	Professional		$633.91	$965.97	$1,775.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.77 / $1,266.80 / $1,490.40	Professional		$1,000.77	$1,266.80	$1,490.40