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 $658.07 / $1,233.36 / $3,419.00	Professional		$658.07	$1,233.36	$3,419.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.00 / $1,608.06 / $2,010.08	Professional		$736.00	$1,608.06	$2,010.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $611.96 / $875.01 / $2,315.73	Professional		$611.96	$875.01	$2,315.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $945.43 / $1,886.76 / $9,874.90	Facility		$945.43	$1,886.76	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $681.15 / $1,134.00 / $2,183.69	Professional		$681.15	$1,134.00	$2,183.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,886.76 / $3,123.31	Facility		$953.00	$1,886.76	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $882.95 / $1,364.09 / $1,866.51	Professional		$882.95	$1,364.09	$1,866.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.74 / $966.48 / $1,793.32	Professional		$635.74	$966.48	$1,793.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,028.50 / $1,424.40 / $1,531.60	Professional		$1,028.50	$1,424.40	$1,531.60