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 $563.96 / $961.23 / $968.64	Professional		$563.96	$961.23	$968.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.00 / $1,439.00 / $1,798.75	Professional		$1,203.00	$1,439.00	$1,798.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.07 / $916.19 / $2,048.41	Professional		$602.07	$916.19	$2,048.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $880.15 / $1,544.57 / $11,139.12	Facility		$880.15	$1,544.57	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $666.59 / $1,282.95 / $4,751.88	Professional		$666.59	$1,282.95	$4,751.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,161.28 / $1,544.57 / $8,497.40	Facility		$1,161.28	$1,544.57	$8,497.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $983.63 / $1,393.00 / $1,887.52	Professional		$983.63	$1,393.00	$1,887.52
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 $636.29 / $979.13 / $1,919.11	Professional		$636.29	$979.13	$1,919.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $970.36 / $1,228.30 / $1,445.10	Professional		$970.36	$1,228.30	$1,445.10