Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,955.00 / $11,668.15	Facility		$4,964.00	$6,955.00	$11,668.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $573.41 / $2,143.89	Professional		$334.08	$573.41	$2,143.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.67 / $984.59 / $1,209.83	Professional		$787.67	$984.59	$1,209.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $360.46 / $601.80 / $1,791.28	Professional		$360.46	$601.80	$1,791.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $835.52 / $1,187.33 / $6,608.00	Facility		$835.52	$1,187.33	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $567.32 / $1,066.55 / $2,323.17	Professional		$567.32	$1,066.55	$2,323.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $705.49 / $914.31 / $1,135.00	Facility		$705.49	$914.31	$1,135.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $670.59 / $1,024.08 / $1,233.63	Professional		$670.59	$1,024.08	$1,233.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.94 / $876.96 / $1,547.46	Professional		$434.94	$876.96	$1,547.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $605.14 / $766.00 / $901.20	Professional		$605.14	$766.00	$901.20