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 $416.77 / $695.45 / $826.85	Professional		$416.77	$695.45	$826.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.85 / $1,114.84 / $1,384.85	Professional		$826.85	$1,114.84	$1,384.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $470.01 / $695.22 / $1,679.34	Professional		$470.01	$695.22	$1,679.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.45 / $1,175.31 / $5,301.00	Facility		$695.45	$1,175.31	$5,301.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.59 / $927.04 / $3,665.92	Professional		$489.59	$927.04	$3,665.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $878.87 / $1,212.48 / $1,750.65	Facility		$878.87	$1,212.48	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $648.24 / $1,068.53 / $1,379.94	Professional		$648.24	$1,068.53	$1,379.94
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 $472.52 / $720.03 / $1,345.56	Professional		$472.52	$720.03	$1,345.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.42 / $1,005.60 / $1,183.09	Professional		$794.42	$1,005.60	$1,183.09