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 $430.93 / $664.09 / $743.47	Professional		$430.93	$664.09	$743.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.12 / $1,063.47 / $1,329.34	Professional		$861.12	$1,063.47	$1,329.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $420.08 / $656.42 / $1,549.86	Professional		$420.08	$656.42	$1,549.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $664.09 / $1,127.28 / $5,301.00	Facility		$664.09	$1,127.28	$5,301.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.12 / $912.94 / $4,940.10	Professional		$498.12	$912.94	$4,940.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $861.12 / $1,211.99 / $1,750.65	Facility		$861.12	$1,211.99	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $1,012.37 / $1,418.24	Professional		$646.00	$1,012.37	$1,418.24
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 $463.91 / $724.54 / $1,358.52	Professional		$463.91	$724.54	$1,358.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $892.70 / $1,050.20	Professional		$705.23	$892.70	$1,050.20