Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.78 / $1,076.36 / $1,789.44	Professional		$427.78	$1,076.36	$1,789.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.34 / $822.92 / $3,790.32	Professional		$658.34	$822.92	$3,790.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.75 / $1,767.32 / $2,231.50	Professional		$279.75	$1,767.32	$2,231.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.28 / $2,731.11 / $8,545.00	Facility		$642.28	$2,731.11	$8,545.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $628.49 / $2,317.03 / $4,579.00	Professional		$628.49	$2,317.03	$4,579.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $628.49 / $2,554.19 / $3,177.38	Facility		$628.49	$2,554.19	$3,177.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.49 / $2,071.76 / $3,062.95	Professional		$616.49	$2,071.76	$3,062.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,055.75 / $7,059.62 / $10,320.00	Facility		$4,055.75	$7,059.62	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.63 / $2,492.87 / $3,353.32	Professional		$1,184.63	$2,492.87	$3,353.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $611.90 / $719.80 / $3,053.70	Professional		$611.90	$719.80	$3,053.70