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 $538.94 / $911.38 / $970.46	Professional		$538.94	$911.38	$970.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.86 / $1,404.72 / $1,755.90	Professional		$1,092.86	$1,404.72	$1,755.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $570.03 / $875.94 / $1,882.89	Professional		$570.03	$875.94	$1,882.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.85 / $1,494.51 / $11,139.12	Facility		$760.85	$1,494.51	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $633.50 / $1,188.34 / $4,578.08	Professional		$633.50	$1,188.34	$4,578.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,517.59 / $6,616.19	Facility		$1,089.00	$1,517.59	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $908.97 / $1,377.00 / $1,785.68	Professional		$908.97	$1,377.00	$1,785.68
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 $621.91 / $921.46 / $1,840.78	Professional		$621.91	$921.46	$1,840.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $959.22 / $1,214.20 / $1,428.50	Professional		$959.22	$1,214.20	$1,428.50