Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.38 / $803.26 / $1,029.31	Professional		$427.38	$803.26	$1,029.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.59 / $1,071.66 / $1,552.65	Professional		$475.59	$1,071.66	$1,552.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $413.74 / $702.34 / $1,229.76	Professional		$413.74	$702.34	$1,229.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $705.56 / $1,357.51 / $9,495.24	Facility		$705.56	$1,357.51	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $638.03 / $1,142.19 / $3,430.00	Professional		$638.03	$1,142.19	$3,430.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $994.16 / $1,396.36 / $2,973.84	Facility		$994.16	$1,396.36	$2,973.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $795.71 / $1,142.19 / $1,569.69	Professional		$795.71	$1,142.19	$1,569.69
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 $597.57 / $887.70 / $1,664.43	Professional		$597.57	$887.70	$1,664.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $861.20 / $1,013.20 / $1,294.30	Professional		$861.20	$1,013.20	$1,294.30