Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.42 / $892.92 / $1,041.43	Professional		$561.42	$892.92	$1,041.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.00 / $1,502.10 / $1,877.63	Professional		$1,077.00	$1,502.10	$1,877.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $583.14 / $922.65 / $1,811.39	Professional		$583.14	$922.65	$1,811.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $944.30 / $1,484.41 / $4,645.00	Facility		$944.30	$1,484.41	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $628.35 / $1,202.29 / $4,858.88	Professional		$628.35	$1,202.29	$4,858.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $1,349.65 / $1,750.25	Facility		$1,077.00	$1,349.65	$1,750.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $886.53 / $1,291.16 / $1,787.07	Professional		$886.53	$1,291.16	$1,787.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,101.36 / $3,894.74 / $6,267.00	Facility		$2,101.36	$3,894.74	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.24 / $930.03 / $1,743.81	Professional		$609.24	$930.03	$1,743.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.77 / $1,266.80 / $1,490.40	Professional		$1,000.77	$1,266.80	$1,490.40