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 $436.18 / $517.64 / $1,070.21	Professional		$436.18	$517.64	$1,070.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.31 / $1,043.66 / $1,299.15	Professional		$815.31	$1,043.66	$1,299.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.08 / $680.86 / $1,375.97	Professional		$436.08	$680.86	$1,375.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.04 / $1,141.83 / $6,608.00	Facility		$560.04	$1,141.83	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.74 / $911.35 / $3,109.53	Professional		$489.74	$911.35	$3,109.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $850.49 / $1,241.30 / $2,256.42	Facility		$850.49	$1,241.30	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $1,043.66 / $1,376.15	Professional		$615.41	$1,043.66	$1,376.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.25 / $726.13 / $1,387.93	Professional		$465.25	$726.13	$1,387.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $727.04 / $920.30 / $1,082.70	Professional		$727.04	$920.30	$1,082.70