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 $480.54 / $757.79 / $1,025.03	Professional		$480.54	$757.79	$1,025.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.33 / $1,476.39 / $1,845.49	Professional		$1,073.33	$1,476.39	$1,845.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $911.01 / $1,599.74	Professional		$593.37	$911.01	$1,599.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $859.90 / $1,453.68 / $4,873.45	Facility		$859.90	$1,453.68	$4,873.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $638.73 / $1,168.79 / $4,814.39	Professional		$638.73	$1,168.79	$4,814.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,355.66 / $1,822.65	Facility		$1,089.00	$1,355.66	$1,822.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $777.66 / $1,264.44 / $1,822.65	Professional		$777.66	$1,264.44	$1,822.65
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 $621.24 / $947.97 / $1,734.60	Professional		$621.24	$947.97	$1,734.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,002.83 / $1,269.40 / $1,493.40	Professional		$1,002.83	$1,269.40	$1,493.40