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 $498.28 / $814.23 / $860.10	Professional		$498.28	$814.23	$860.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.00 / $1,240.33 / $1,550.41	Professional		$1,003.00	$1,240.33	$1,550.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $505.60 / $805.47 / $2,840.23	Professional		$505.60	$805.47	$2,840.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $860.10 / $1,343.81 / $14,242.22	Facility		$860.10	$1,343.81	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $564.01 / $1,108.36 / $5,224.09	Professional		$564.01	$1,108.36	$5,224.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,005.80 / $1,343.81 / $6,616.19	Facility		$1,005.80	$1,343.81	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $814.41 / $1,219.05 / $1,599.03	Professional		$814.41	$1,219.05	$1,599.03
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $538.38 / $820.38 / $1,527.97	Professional		$538.38	$820.38	$1,527.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $849.17 / $1,074.90 / $1,264.59	Professional		$849.17	$1,074.90	$1,264.59