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 $482.04 / $807.49 / $869.18	Professional		$482.04	$807.49	$869.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.01 / $1,265.26 / $1,581.57	Professional		$984.01	$1,265.26	$1,581.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $510.56 / $784.46 / $1,671.03	Professional		$510.56	$784.46	$1,671.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.57 / $1,347.23 / $7,896.02	Facility		$695.57	$1,347.23	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $565.19 / $1,058.45 / $4,107.68	Professional		$565.19	$1,058.45	$4,107.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,020.46 / $1,455.82 / $2,961.89	Facility		$1,020.46	$1,455.82	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $804.30 / $1,230.73 / $1,609.72	Professional		$804.30	$1,230.73	$1,609.72
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 $539.50 / $822.10 / $1,464.36	Professional		$539.50	$822.10	$1,464.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $861.34 / $1,090.30 / $1,282.70	Professional		$861.34	$1,090.30	$1,282.70