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 $414.92 / $476.90 / $714.37	Professional		$414.92	$476.90	$714.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,040.88 / $1,301.09	Professional		$855.00	$1,040.88	$1,301.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $418.26 / $663.50 / $1,819.34	Professional		$418.26	$663.50	$1,819.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $714.37 / $1,135.94 / $7,123.00	Facility		$714.37	$1,135.94	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $466.64 / $917.06 / $4,139.31	Professional		$466.64	$917.06	$4,139.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $1,193.73 / $2,961.89	Facility		$855.00	$1,193.73	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $673.48 / $1,012.37 / $1,333.26	Professional		$673.48	$1,012.37	$1,333.26
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 $445.43 / $678.75 / $1,380.96	Professional		$445.43	$678.75	$1,380.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $892.70 / $1,050.20	Professional		$705.23	$892.70	$1,050.20