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 $551.85 / $893.90 / $958.28	Professional		$551.85	$893.90	$958.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.00 / $1,382.90 / $1,728.63	Professional		$1,109.00	$1,382.90	$1,728.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $896.66 / $1,847.14	Professional		$562.79	$896.66	$1,847.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $823.88 / $1,482.58 / $11,139.12	Facility		$823.88	$1,482.58	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $626.58 / $1,223.07 / $5,231.39	Professional		$626.58	$1,223.07	$5,231.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,109.00 / $1,496.71 / $6,616.19	Facility		$1,109.00	$1,496.71	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $892.88 / $1,358.08 / $1,781.85	Professional		$892.88	$1,358.08	$1,781.85
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 $598.10 / $911.39 / $1,697.47	Professional		$598.10	$911.39	$1,697.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $946.03 / $1,197.50 / $1,408.80	Professional		$946.03	$1,197.50	$1,408.80