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 $455.40 / $530.88 / $790.97	Professional		$455.40	$530.88	$790.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.00 / $1,149.17 / $1,436.47	Professional		$919.00	$1,149.17	$1,436.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $463.61 / $737.67 / $1,520.08	Professional		$463.61	$737.67	$1,520.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.97 / $1,237.20 / $11,139.12	Facility		$790.97	$1,237.20	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.79 / $1,005.27 / $4,139.31	Professional		$513.79	$1,005.27	$4,139.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $927.41 / $1,316.00 / $6,616.19	Facility		$927.41	$1,316.00	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $732.81 / $1,117.53 / $1,454.60	Professional		$732.81	$1,117.53	$1,454.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $9,495.24 / $18,346.22	Facility		$5,341.00	$9,495.24	$18,346.22
United Facility/Professional Professional Modifier Low / Median / High Price $490.43 / $747.33 / $1,391.90	Professional		$490.43	$747.33	$1,391.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $782.26 / $990.20 / $1,165.00	Professional		$782.26	$990.20	$1,165.00