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 $514.38 / $769.70 / $978.34	Professional		$514.38	$769.70	$978.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.00 / $1,414.07 / $1,767.58	Professional		$1,122.00	$1,414.07	$1,767.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $574.96 / $915.81 / $1,980.56	Professional		$574.96	$915.81	$1,980.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $978.34 / $1,425.81 / $8,332.67	Facility		$978.34	$1,425.81	$8,332.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $639.44 / $1,220.93 / $4,946.76	Professional		$639.44	$1,220.93	$4,946.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $1,528.98 / $2,961.89	Facility		$1,122.00	$1,528.98	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $791.39 / $1,272.81 / $1,821.82	Professional		$791.39	$1,272.81	$1,821.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,420.00 / $11,869.99	Facility		$6,354.00	$8,420.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $610.38 / $930.10 / $1,732.30	Professional		$610.38	$930.10	$1,732.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $966.80 / $1,223.80 / $1,439.80	Professional		$966.80	$1,223.80	$1,439.80