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 $563.65 / $913.33 / $972.73	Professional		$563.65	$913.33	$972.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.16 / $1,404.72 / $1,755.90	Professional		$1,112.16	$1,404.72	$1,755.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $585.97 / $910.62 / $1,972.22	Professional		$585.97	$910.62	$1,972.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $972.73 / $1,539.77 / $7,123.00	Facility		$972.73	$1,539.77	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $639.15 / $1,249.03 / $5,247.92	Professional		$639.15	$1,249.03	$5,247.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,138.48 / $1,530.10 / $2,961.89	Facility		$1,138.48	$1,530.10	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $915.46 / $1,381.48 / $1,806.89	Professional		$915.46	$1,381.48	$1,806.89
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 $607.73 / $926.06 / $1,791.34	Professional		$607.73	$926.06	$1,791.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $960.72 / $1,216.09 / $1,430.70	Professional		$960.72	$1,216.09	$1,430.70