Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $7,708.00 / $11,923.23	Facility		$4,277.00	$7,708.00	$11,923.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.39 / $2,365.69 / $3,012.87	Professional		$454.39	$2,365.69	$3,012.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.09 / $3,548.00 / $4,738.88	Professional		$906.09	$3,548.00	$4,738.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.23 / $2,227.67 / $4,800.54	Professional		$393.23	$2,227.67	$4,800.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,010.49 / $4,625.02 / $33,239.54	Facility		$1,010.49	$4,625.02	$33,239.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,128.80 / $4,435.93 / $10,405.00	Professional		$1,128.80	$4,435.93	$10,405.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,010.49 / $4,790.18 / $20,900.22	Facility		$1,010.49	$4,790.18	$20,900.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $918.47 / $3,548.00 / $5,171.35	Professional		$918.47	$3,548.00	$5,171.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,234.00 / $11,707.82 / $14,479.00	Facility		$7,234.00	$11,707.82	$14,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,107.98 / $4,300.83 / $6,067.33	Professional		$2,107.98	$4,300.83	$6,067.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $842.10 / $990.70 / $3,826.90	Professional		$842.10	$990.70	$3,826.90