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 $462.85 / $739.50 / $797.88	Professional		$462.85	$739.50	$797.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.00 / $1,158.52 / $1,448.15	Professional		$939.00	$1,158.52	$1,448.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.59 / $749.16 / $1,717.38	Professional		$467.59	$749.16	$1,717.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.36 / $1,247.50 / $7,896.02	Facility		$783.36	$1,247.50	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.55 / $1,011.85 / $3,988.26	Professional		$516.55	$1,011.85	$3,988.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $939.00 / $1,316.00 / $2,961.89	Facility		$939.00	$1,316.00	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $742.56 / $1,130.61 / $1,471.64	Professional		$742.56	$1,130.61	$1,471.64
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 $515.72 / $751.36 / $1,528.69	Professional		$515.72	$751.36	$1,528.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $788.89 / $998.60 / $1,174.80	Professional		$788.89	$998.60	$1,174.80