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 $541.63 / $875.75 / $947.99	Professional		$541.63	$875.75	$947.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.00 / $1,369.66 / $1,712.07	Professional		$1,071.00	$1,369.66	$1,712.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $886.38 / $2,274.83	Professional		$556.60	$886.38	$2,274.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $848.64 / $1,481.96 / $11,139.12	Facility		$848.64	$1,481.96	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $619.51 / $1,163.79 / $4,470.47	Professional		$619.51	$1,163.79	$4,470.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,481.96 / $6,616.19	Facility		$1,089.00	$1,481.96	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $879.76 / $1,343.52 / $1,760.24	Professional		$879.76	$1,343.52	$1,760.24
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 $590.73 / $901.10 / $1,661.41	Professional		$590.73	$901.10	$1,661.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $935.91 / $1,184.70 / $1,393.70	Professional		$935.91	$1,184.70	$1,393.70