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 $370.00 / $492.66 / $836.66	Professional		$370.00	$492.66	$836.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.79 / $926.62 / $988.48	Professional		$790.79	$926.62	$988.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $341.46 / $585.92 / $1,080.36	Professional		$341.46	$585.92	$1,080.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $674.00 / $1,072.61 / $9,495.24	Facility		$674.00	$1,072.61	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $421.43 / $838.94 / $1,492.56	Professional		$421.43	$838.94	$1,492.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $674.00 / $1,097.26 / $3,018.60	Facility		$674.00	$1,097.26	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $564.99 / $807.86 / $1,097.26	Professional		$564.99	$807.86	$1,097.26
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 $403.87 / $812.42 / $1,205.86	Professional		$403.87	$812.42	$1,205.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $585.07 / $740.60 / $871.40	Professional		$585.07	$740.60	$871.40