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 $496.98 / $804.69 / $804.69	Professional		$496.98	$804.69	$804.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.23 / $1,271.75 / $1,430.38	Professional		$1,117.23	$1,271.75	$1,430.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $486.56 / $765.56 / $1,506.56	Professional		$486.56	$765.56	$1,506.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $804.69 / $1,579.24 / $7,836.18	Facility		$804.69	$1,579.24	$7,836.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.26 / $1,214.22 / $1,949.46	Professional		$634.26	$1,214.22	$1,949.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $826.61 / $1,568.82 / $3,018.60	Facility		$826.61	$1,568.82	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $746.00 / $1,148.47 / $1,568.82	Professional		$746.00	$1,148.47	$1,568.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.12 / $1,169.54 / $1,681.25	Professional		$584.12	$1,169.54	$1,681.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.79 / $1,052.90 / $1,238.70	Professional		$831.79	$1,052.90	$1,238.70