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 $541.23 / $856.84 / $948.04	Professional		$541.23	$856.84	$948.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.04 / $1,370.44 / $1,713.05	Professional		$1,068.04	$1,370.44	$1,713.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $557.21 / $886.31 / $1,829.93	Professional		$557.21	$886.31	$1,829.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $806.99 / $1,434.96 / $4,697.76	Facility		$806.99	$1,434.96	$4,697.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $619.54 / $1,157.64 / $4,470.72	Professional		$619.54	$1,157.64	$4,470.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,471.64 / $1,874.21	Facility		$1,089.00	$1,471.64	$1,874.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.13 / $1,330.05 / $1,764.33	Professional		$851.13	$1,330.05	$1,764.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.73 / $901.15 / $1,678.40	Professional		$590.73	$901.15	$1,678.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $936.94 / $1,186.00 / $1,395.20	Professional		$936.94	$1,186.00	$1,395.20