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 $629.08 / $691.98 / $850.81	Professional		$629.08	$691.98	$850.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.24 / $1,489.05 / $1,522.43	Professional		$1,191.24	$1,489.05	$1,522.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $529.65 / $965.85 / $1,730.31	Professional		$529.65	$965.85	$1,730.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,164.15 / $2,245.50 / $9,495.24	Facility		$1,164.15	$2,245.50	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $701.04 / $1,355.37 / $2,462.94	Professional		$701.04	$1,355.37	$2,462.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,668.05 / $3,018.60	Facility		$1,089.00	$1,668.05	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $921.97 / $1,278.10 / $1,668.42	Professional		$921.97	$1,278.10	$1,668.42
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 $671.83 / $1,343.72 / $1,901.75	Professional		$671.83	$1,343.72	$1,901.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $898.78 / $1,137.70 / $1,338.40	Professional		$898.78	$1,137.70	$1,338.40