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 $482.78 / $794.36 / $838.02	Professional		$482.78	$794.36	$838.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.00 / $1,213.83 / $1,517.30	Professional		$972.00	$1,213.83	$1,517.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $492.65 / $784.32 / $1,611.45	Professional		$492.65	$784.32	$1,611.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $838.02 / $1,311.65 / $7,896.02	Facility		$838.02	$1,311.65	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $547.94 / $1,067.00 / $3,956.88	Professional		$547.94	$1,067.00	$3,956.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $982.25 / $1,316.00 / $2,961.89	Facility		$982.25	$1,316.00	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $791.60 / $1,189.96 / $1,562.05	Professional		$791.60	$1,189.96	$1,562.05
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 $523.04 / $797.01 / $1,484.43	Professional		$523.04	$797.01	$1,484.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $828.95 / $1,049.30 / $1,234.40	Professional		$828.95	$1,049.30	$1,234.40