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 $503.49 / $1,172.69 / $1,958.31	Professional		$503.49	$1,172.69	$1,958.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.40 / $2,662.27 / $3,551.75	Professional		$693.40	$2,662.27	$3,551.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.52 / $1,463.63 / $2,644.85	Professional		$316.52	$1,463.63	$2,644.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $766.48 / $3,198.81 / $8,400.95	Facility		$766.48	$3,198.81	$8,400.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $906.82 / $3,019.51 / $5,585.27	Professional		$906.82	$3,019.51	$5,585.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $766.48 / $3,198.81 / $4,071.21	Facility		$766.48	$3,198.81	$4,071.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $734.36 / $2,540.80 / $3,802.63	Professional		$734.36	$2,540.80	$3,802.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,434.89 / $2,831.88 / $4,318.53	Professional		$1,434.89	$2,831.88	$4,318.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $792.10 / $2,871.50	Professional		$673.30	$792.10	$2,871.50