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 $425.63 / $625.67 / $798.84	Professional		$425.63	$625.67	$798.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.56 / $1,167.86 / $1,459.84	Professional		$850.56	$1,167.86	$1,459.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $468.19 / $734.00 / $1,527.46	Professional		$468.19	$734.00	$1,527.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.91 / $1,163.71 / $7,896.02	Facility		$626.91	$1,163.71	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.87 / $931.04 / $3,778.48	Professional		$509.87	$931.04	$3,778.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $939.36 / $1,252.24 / $2,961.89	Facility		$939.36	$1,252.24	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $655.76 / $1,017.77 / $1,471.57	Professional		$655.76	$1,017.77	$1,471.57
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 $492.70 / $750.78 / $1,527.52	Professional		$492.70	$750.78	$1,527.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $792.45 / $1,003.10 / $1,180.09	Professional		$792.45	$1,003.10	$1,180.09