Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.11 / $611.32 / $902.40	Professional		$392.11	$611.32	$902.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.90 / $1,191.56 / $1,639.03	Professional		$803.90	$1,191.56	$1,639.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.20 / $749.49 / $1,495.47	Professional		$416.20	$749.49	$1,495.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $658.11 / $1,187.63 / $5,732.00	Facility		$658.11	$1,187.63	$5,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $640.53 / $1,169.66 / $4,262.24	Professional		$640.53	$1,169.66	$4,262.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $903.20 / $1,250.36 / $2,932.27	Facility		$903.20	$1,250.36	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $843.80 / $1,116.45 / $1,508.44	Professional		$843.80	$1,116.45	$1,508.44
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 $584.83 / $835.47 / $1,659.80	Professional		$584.83	$835.47	$1,659.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $796.40 / $937.00 / $1,282.70	Professional		$796.40	$937.00	$1,282.70