Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.58 / $775.33 / $835.34	Professional		$357.58	$775.33	$835.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.71 / $1,221.38 / $1,634.69	Professional		$924.71	$1,221.38	$1,634.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $538.72 / $902.30 / $3,888.99	Professional		$538.72	$902.30	$3,888.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $775.33 / $1,343.34 / $5,015.03	Facility		$775.33	$1,343.34	$5,015.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $600.04 / $1,262.68 / $14,265.96	Professional		$600.04	$1,262.68	$14,265.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $982.83 / $1,561.29 / $2,614.69	Facility		$982.83	$1,561.29	$2,614.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $710.14 / $1,218.02 / $2,276.00	Professional		$710.14	$1,218.02	$2,276.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.95 / $1,100.84 / $3,245.80	Professional		$573.95	$1,100.84	$3,245.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $893.33 / $1,130.80 / $1,330.30	Professional		$893.33	$1,130.80	$1,330.30