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 $546.92 / $647.33 / $943.61	Professional		$546.92	$647.33	$943.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.99 / $1,365.76 / $1,707.20	Professional		$1,154.99	$1,365.76	$1,707.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $568.91 / $894.00 / $2,115.38	Professional		$568.91	$894.00	$2,115.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $943.61 / $1,513.93 / $4,873.45	Facility		$943.61	$1,513.93	$4,873.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $629.95 / $1,219.08 / $5,361.75	Professional		$629.95	$1,219.08	$5,361.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,105.21 / $1,351.40 / $1,748.96	Facility		$1,105.21	$1,351.40	$1,748.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $892.64 / $1,339.16 / $1,748.96	Professional		$892.64	$1,339.16	$1,748.96
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 $587.46 / $895.18 / $1,779.33	Professional		$587.46	$895.18	$1,779.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $932.83 / $1,180.80 / $1,389.20	Professional		$932.83	$1,180.80	$1,389.20