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 $505.35 / $828.23 / $942.61	Professional		$505.35	$828.23	$942.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.25 / $1,326.81 / $1,658.51	Professional		$1,025.25	$1,326.81	$1,658.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $535.17 / $837.23 / $1,966.49	Professional		$535.17	$837.23	$1,966.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.36 / $1,387.40 / $5,301.00	Facility		$783.36	$1,387.40	$5,301.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.34 / $1,144.03 / $6,579.65	Professional		$602.34	$1,144.03	$6,579.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,091.18 / $1,449.56 / $1,768.64	Facility		$1,091.18	$1,449.56	$1,768.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $883.35 / $1,275.82 / $1,686.91	Professional		$883.35	$1,275.82	$1,686.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.22 / $896.67 / $1,681.26	Professional		$572.22	$896.67	$1,681.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $888.75 / $1,125.00 / $1,323.50	Professional		$888.75	$1,125.00	$1,323.50