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 $515.79 / $780.54 / $902.17	Professional		$515.79	$780.54	$902.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.27 / $1,305.77 / $1,632.21	Professional		$1,008.27	$1,305.77	$1,632.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $529.78 / $843.66 / $1,738.56	Professional		$529.78	$843.66	$1,738.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $773.23 / $1,389.34 / $7,123.00	Facility		$773.23	$1,389.34	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.04 / $1,122.64 / $4,253.04	Professional		$588.04	$1,122.64	$4,253.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,055.94 / $1,409.82 / $2,961.89	Facility		$1,055.94	$1,409.82	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $768.04 / $1,253.38 / $1,674.67	Professional		$768.04	$1,253.38	$1,674.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.55 / $855.34 / $1,593.08	Professional		$560.55	$855.34	$1,593.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.75 / $1,128.80 / $1,328.00	Professional		$891.75	$1,128.80	$1,328.00