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 $528.00 / $825.30 / $912.32	Professional		$528.00	$825.30	$912.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.97 / $1,326.18 / $1,594.23	Professional		$1,121.97	$1,326.18	$1,594.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $546.47 / $942.01 / $1,763.94	Professional		$546.47	$942.01	$1,763.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $825.30 / $1,313.87 / $1,775.00	Facility		$825.30	$1,313.87	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $625.07 / $1,184.30 / $4,282.72	Professional		$625.07	$1,184.30	$4,282.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,359.33 / $1,762.81	Facility		$953.00	$1,359.33	$1,762.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $857.53 / $1,288.19 / $1,762.81	Professional		$857.53	$1,288.19	$1,762.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $906.10 / $1,843.51	Professional		$593.82	$906.10	$1,843.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $897.36 / $1,135.90 / $1,336.30	Professional		$897.36	$1,135.90	$1,336.30