Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.45 / $830.06 / $930.66	Professional		$535.45	$830.06	$930.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.00 / $1,343.95 / $1,679.93	Professional		$1,086.00	$1,343.95	$1,679.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $546.77 / $870.86 / $1,800.80	Professional		$546.77	$870.86	$1,800.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $930.66 / $1,455.12 / $7,896.02	Facility		$930.66	$1,455.12	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.87 / $1,190.41 / $6,452.47	Professional		$608.87	$1,190.41	$6,452.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,522.00 / $3,730.19	Facility		$1,086.00	$1,522.00	$3,730.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $836.57 / $1,319.49 / $1,832.26	Professional		$836.57	$1,319.49	$1,832.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,180.89 / $6,840.79 / $9,751.77	Facility		$4,180.89	$6,840.79	$9,751.77
United Facility/Professional Professional Modifier Low / Median / High Price $581.20 / $885.63 / $1,649.49	Professional		$581.20	$885.63	$1,649.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $919.17 / $1,163.50 / $1,368.80	Professional		$919.17	$1,163.50	$1,368.80