Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.84 / $777.04 / $827.33	Professional		$479.84	$777.04	$827.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.86 / $1,200.58 / $1,500.74	Professional		$1,002.86	$1,200.58	$1,500.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $498.90 / $783.98 / $1,669.23	Professional		$498.90	$783.98	$1,669.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $827.33 / $1,370.29 / $7,896.02	Facility		$827.33	$1,370.29	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $547.64 / $1,059.78 / $4,922.89	Professional		$547.64	$1,059.78	$4,922.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $969.85 / $1,385.81 / $2,961.89	Facility		$969.85	$1,385.81	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $774.02 / $1,174.66 / $1,528.50	Professional		$774.02	$1,174.66	$1,528.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,180.89 / $6,840.79 / $9,751.77	Facility		$4,180.89	$6,840.79	$9,751.77
United Facility/Professional Professional Modifier Low / Median / High Price $513.61 / $800.34 / $1,592.33	Professional		$513.61	$800.34	$1,592.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $818.28 / $1,035.80 / $1,218.59	Professional		$818.28	$1,035.80	$1,218.59