Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.49 / $1,060.82 / $1,060.82	Professional		$582.49	$1,060.82	$1,060.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.03 / $1,429.96 / $1,784.14	Professional		$904.03	$1,429.96	$1,784.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.36 / $938.93 / $1,801.30	Professional		$579.36	$938.93	$1,801.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $871.02 / $1,694.60 / $13,268.42	Facility		$871.02	$1,694.60	$13,268.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.13 / $1,179.35 / $2,383.94	Professional		$678.13	$1,179.35	$2,383.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $1,936.55 / $5,797.72	Facility		$1,111.00	$1,936.55	$5,797.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,387.17 / $1,853.03	Professional		$1,016.00	$1,387.17	$1,853.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.65 / $884.52 / $1,686.96	Professional		$648.65	$884.52	$1,686.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $966.33 / $1,223.20 / $1,439.00	Professional		$966.33	$1,223.20	$1,439.00