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 $545.28 / $864.13 / $1,015.90	Professional		$545.28	$864.13	$1,015.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $1,463.93 / $1,829.91	Professional		$1,117.34	$1,463.93	$1,829.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $569.95 / $902.43 / $1,912.02	Professional		$569.95	$902.43	$1,912.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $864.39 / $1,468.49 / $4,645.00	Facility		$864.39	$1,468.49	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $626.35 / $1,178.40 / $4,738.00	Professional		$626.35	$1,178.40	$4,738.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,047.00 / $1,351.40 / $1,719.96	Facility		$1,047.00	$1,351.40	$1,719.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $859.35 / $1,314.61 / $1,742.64	Professional		$859.35	$1,314.61	$1,742.64
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 $597.88 / $897.80 / $1,696.84	Professional		$597.88	$897.80	$1,696.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $976.99 / $1,236.70 / $1,454.90	Professional		$976.99	$1,236.70	$1,454.90