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 $563.87 / $919.83 / $977.99	Professional		$563.87	$919.83	$977.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.73 / $1,411.73 / $1,764.66	Professional		$1,411.73	$1,411.73	$1,764.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.05 / $916.20 / $1,889.51	Professional		$575.05	$916.20	$1,889.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $884.66 / $1,528.05 / $11,139.12	Facility		$884.66	$1,528.05	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $639.77 / $1,219.54 / $4,609.35	Professional		$639.77	$1,219.54	$4,609.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,141.00 / $1,528.05 / $6,616.19	Facility		$1,141.00	$1,528.05	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $916.95 / $1,387.17 / $1,818.06	Professional		$916.95	$1,387.17	$1,818.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $9,495.24 / $18,346.22	Facility		$5,341.00	$9,495.24	$18,346.22
United Facility/Professional Professional Modifier Low / Median / High Price $610.69 / $930.58 / $1,893.32	Professional		$610.69	$930.58	$1,893.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $966.33 / $1,223.20 / $1,439.00	Professional		$966.33	$1,223.20	$1,439.00