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 $488.29 / $725.07 / $906.97	Professional		$488.29	$725.07	$906.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $1,318.24 / $1,647.80	Professional		$988.00	$1,318.24	$1,647.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $532.88 / $848.13 / $1,965.27	Professional		$532.88	$848.13	$1,965.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.84 / $1,335.58 / $5,341.00	Facility		$742.84	$1,335.58	$5,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $590.07 / $1,105.05 / $4,284.32	Professional		$590.07	$1,105.05	$4,284.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,064.03 / $1,322.29 / $1,719.96	Facility		$1,064.03	$1,322.29	$1,719.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $743.89 / $1,177.13 / $1,681.55	Professional		$743.89	$1,177.13	$1,681.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,739.00 / $7,405.00 / $9,874.90	Facility		$3,739.00	$7,405.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $562.62 / $858.29 / $1,598.56	Professional		$562.62	$858.29	$1,598.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $898.39 / $1,137.20 / $1,337.90	Professional		$898.39	$1,137.20	$1,337.90