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 $465.83 / $751.95 / $836.43	Professional		$465.83	$751.95	$836.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.00 / $1,165.53 / $1,456.92	Professional		$945.00	$1,165.53	$1,456.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $474.16 / $755.49 / $2,367.52	Professional		$474.16	$755.49	$2,367.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $805.46 / $1,259.59 / $8,957.00	Facility		$805.46	$1,259.59	$8,957.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.54 / $1,004.72 / $4,644.56	Professional		$527.54	$1,004.72	$4,644.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $1,316.00 / $2,961.89	Facility		$945.00	$1,316.00	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $756.82 / $1,144.82 / $1,497.92	Professional		$756.82	$1,144.82	$1,497.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,260.21 / $8,332.67 / $13,476.00	Facility		$4,260.21	$8,332.67	$13,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.56 / $781.68 / $1,402.91	Professional		$503.56	$781.68	$1,402.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $797.51 / $1,009.50 / $1,187.59	Professional		$797.51	$1,009.50	$1,187.59