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 $459.51 / $863.42 / $1,218.64	Professional		$459.51	$863.42	$1,218.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.01 / $1,291.47 / $1,994.50	Professional		$553.01	$1,291.47	$1,994.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $444.37 / $804.31 / $1,534.65	Professional		$444.37	$804.31	$1,534.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.37 / $1,488.44 / $5,857.27	Facility		$810.37	$1,488.44	$5,857.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $799.69 / $1,309.08 / $3,688.96	Professional		$799.69	$1,309.08	$3,688.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $713.58 / $1,152.94 / $1,720.88	Facility		$713.58	$1,152.94	$1,720.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $964.08 / $1,309.08 / $1,862.74	Professional		$964.08	$1,309.08	$1,862.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $1,066.26 / $1,999.23	Professional		$727.70	$1,066.26	$1,999.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $924.90 / $1,088.09 / $1,521.20	Professional		$924.90	$1,088.09	$1,521.20