Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.35 / $1,000.97 / $1,083.91	Professional		$614.35	$1,000.97	$1,083.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,526.26 / $1,907.82	Professional		$1,250.00	$1,526.26	$1,907.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $624.89 / $996.65 / $2,666.77	Professional		$624.89	$996.65	$2,666.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $964.56 / $1,645.40 / $12,257.52	Facility		$964.56	$1,645.40	$12,257.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $696.64 / $1,329.95 / $4,995.52	Professional		$696.64	$1,329.95	$4,995.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,239.33 / $1,517.48 / $1,984.74	Facility		$1,239.33	$1,517.48	$1,984.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $999.49 / $1,504.35 / $1,984.74	Professional		$999.49	$1,504.35	$1,984.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,799.00 / $10,320.00	Facility		$4,700.00	$7,799.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.98 / $1,013.30 / $1,887.26	Professional		$664.98	$1,013.30	$1,887.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.94 / $1,326.50 / $1,560.60	Professional		$1,047.94	$1,326.50	$1,560.60