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 $513.13 / $837.82 / $1,273.39	Professional		$513.13	$837.82	$1,273.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.21 / $1,299.54 / $1,624.42	Professional		$1,012.21	$1,299.54	$1,624.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $526.79 / $838.43 / $2,097.40	Professional		$526.79	$838.43	$2,097.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.02 / $1,405.52 / $6,267.00	Facility		$870.02	$1,405.52	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $585.97 / $1,146.31 / $4,957.77	Professional		$585.97	$1,146.31	$4,957.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,052.68 / $1,405.52 / $2,961.89	Facility		$1,052.68	$1,405.52	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $837.26 / $1,272.92 / $1,667.75	Professional		$837.26	$1,272.92	$1,667.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $4,878.97 / $6,489.22	Facility		$2,679.00	$4,878.97	$6,489.22
United Facility/Professional Professional Modifier Low / Median / High Price $558.51 / $852.32 / $1,598.10	Professional		$558.51	$852.32	$1,598.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $886.70 / $1,122.40 / $1,320.50	Professional		$886.70	$1,122.40	$1,320.50