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 $515.66 / $867.79 / $917.75	Professional		$515.66	$867.79	$917.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.32 / $1,322.91 / $1,653.64	Professional		$1,032.32	$1,322.91	$1,653.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $540.05 / $833.51 / $1,790.21	Professional		$540.05	$833.51	$1,790.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.60 / $1,413.34 / $7,123.00	Facility		$758.60	$1,413.34	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $603.23 / $1,131.46 / $4,325.20	Professional		$603.23	$1,131.46	$4,325.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,073.09 / $1,433.91 / $2,961.89	Facility		$1,073.09	$1,433.91	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $864.72 / $1,301.31 / $1,719.10	Professional		$864.72	$1,301.31	$1,719.10
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 $575.29 / $877.42 / $1,785.17	Professional		$575.29	$877.42	$1,785.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $906.45 / $1,147.40 / $1,349.90	Professional		$906.45	$1,147.40	$1,349.90