Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.00 / $752.75 / $1,307.67	Professional		$549.00	$752.75	$1,307.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.00 / $1,381.34 / $1,726.68	Professional		$1,098.00	$1,381.34	$1,726.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $557.83 / $946.91 / $2,339.71	Professional		$557.83	$946.91	$2,339.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $952.91 / $1,488.26 / $7,896.02	Facility		$952.91	$1,488.26	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $622.28 / $1,221.45 / $6,307.00	Professional		$622.28	$1,221.45	$6,307.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,115.88 / $1,553.00 / $2,961.89	Facility		$1,115.88	$1,553.00	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $897.84 / $1,347.89 / $1,775.28	Professional		$897.84	$1,347.89	$1,775.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $905.14 / $1,652.34	Professional		$594.00	$905.14	$1,652.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $938.92 / $1,188.50 / $1,398.30	Professional		$938.92	$1,188.50	$1,398.30