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 $444.42 / $729.26 / $770.06	Professional		$444.42	$729.26	$770.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $1,118.01 / $1,397.51	Professional		$880.00	$1,118.01	$1,397.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $452.59 / $720.45 / $1,690.90	Professional		$452.59	$720.45	$1,690.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.17 / $1,185.89 / $7,896.02	Facility		$656.17	$1,185.89	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $503.02 / $986.92 / $3,635.84	Professional		$503.02	$986.92	$3,635.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $902.94 / $1,293.35 / $2,961.89	Facility		$902.94	$1,293.35	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $726.85 / $1,094.26 / $1,431.22	Professional		$726.85	$1,094.26	$1,431.22
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 $479.99 / $731.66 / $1,362.72	Professional		$479.99	$731.66	$1,362.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $762.51 / $965.20 / $1,135.50	Professional		$762.51	$965.20	$1,135.50