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 $515.66 / $838.27 / $889.03	Professional		$515.66	$838.27	$889.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,291.75 / $1,614.68	Professional		$1,044.00	$1,291.75	$1,614.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $832.52 / $1,713.41	Professional		$522.90	$832.52	$1,713.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $889.03 / $1,392.68 / $11,139.12	Facility		$889.03	$1,392.68	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $579.54 / $1,102.32 / $4,201.52	Professional		$579.54	$1,102.32	$4,201.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $1,392.68 / $6,616.19	Facility		$1,044.00	$1,392.68	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $835.08 / $1,259.91 / $1,647.88	Professional		$835.08	$1,259.91	$1,647.88
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 $553.19 / $842.96 / $1,570.01	Professional		$553.19	$842.96	$1,570.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $881.17 / $1,115.40 / $1,312.20	Professional		$881.17	$1,115.40	$1,312.20