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 $415.26 / $676.80 / $1,365.18	Professional		$415.26	$676.80	$1,365.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.00 / $1,047.89 / $1,309.85	Professional		$821.00	$1,047.89	$1,309.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $423.37 / $673.70 / $1,671.03	Professional		$423.37	$673.70	$1,671.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $702.32 / $1,119.53 / $7,896.02	Facility		$702.32	$1,119.53	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.14 / $920.56 / $3,424.45	Professional		$469.14	$920.56	$3,424.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $840.13 / $1,199.09 / $2,961.89	Facility		$840.13	$1,199.09	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $678.99 / $1,023.38 / $1,338.53	Professional		$678.99	$1,023.38	$1,338.53
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 $445.36 / $682.38 / $1,279.47	Professional		$445.36	$682.38	$1,279.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $713.84 / $903.60 / $1,063.00	Professional		$713.84	$903.60	$1,063.00