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 $477.26 / $790.83 / $856.15	Professional		$477.26	$790.83	$856.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.06 / $1,246.56 / $1,558.20	Professional		$969.06	$1,246.56	$1,558.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $502.40 / $799.40 / $1,724.82	Professional		$502.40	$799.40	$1,724.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $693.31 / $1,318.47 / $8,957.00	Facility		$693.31	$1,318.47	$8,957.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $555.71 / $1,044.08 / $4,044.56	Professional		$555.71	$1,044.08	$4,044.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,004.97 / $1,340.58 / $2,961.89	Facility		$1,004.97	$1,340.58	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $801.72 / $1,207.26 / $1,579.03	Professional		$801.72	$1,207.26	$1,579.03
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 $529.70 / $808.30 / $1,505.47	Professional		$529.70	$808.30	$1,505.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $848.14 / $1,073.59 / $1,263.09	Professional		$848.14	$1,073.59	$1,263.09