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 $463.42 / $726.56 / $1,048.83	Professional		$463.42	$726.56	$1,048.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.27 / $1,402.38 / $1,901.98	Professional		$952.27	$1,402.38	$1,901.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $494.96 / $877.92 / $1,747.70	Professional		$494.96	$877.92	$1,747.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.06 / $1,372.93 / $5,732.00	Facility		$783.06	$1,372.93	$5,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $742.87 / $1,357.48 / $4,906.21	Professional		$742.87	$1,357.48	$4,906.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,073.50 / $1,489.18 / $2,932.27	Facility		$1,073.50	$1,489.18	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,005.85 / $1,294.67 / $1,749.85	Professional		$1,005.85	$1,294.67	$1,749.85
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 $678.74 / $1,034.27 / $2,104.29	Professional		$678.74	$1,034.27	$2,104.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $946.60 / $1,113.59 / $1,491.10	Professional		$946.60	$1,113.59	$1,491.10