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 $555.12 / $644.95 / $962.60	Professional		$555.12	$644.95	$962.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.00 / $1,374.33 / $1,717.92	Professional		$1,163.00	$1,374.33	$1,717.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.33 / $910.37 / $1,663.67	Professional		$579.33	$910.37	$1,663.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $938.67 / $1,532.98 / $7,123.00	Facility		$938.67	$1,532.98	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $642.03 / $1,218.85 / $4,532.47	Professional		$642.03	$1,218.85	$4,532.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,120.52 / $1,502.47 / $2,961.89	Facility		$1,120.52	$1,502.47	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $928.55 / $1,371.89 / $1,819.42	Professional		$928.55	$1,371.89	$1,819.42
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 $609.92 / $1,063.54 / $1,838.10	Professional		$609.92	$1,063.54	$1,838.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $955.66 / $1,209.70 / $1,423.20	Professional		$955.66	$1,209.70	$1,423.20