Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.48 / $853.92 / $3,007.92	Professional		$454.48	$853.92	$3,007.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.41 / $1,116.45 / $1,395.56	Professional		$586.41	$1,116.45	$1,395.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $437.91 / $618.39 / $1,126.60	Professional		$437.91	$618.39	$1,126.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $727.42 / $1,371.91 / $9,874.90	Facility		$727.42	$1,371.91	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $538.82 / $925.34 / $1,632.33	Professional		$538.82	$925.34	$1,632.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.48 / $1,480.83 / $3,123.31	Facility		$912.48	$1,480.83	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $1,007.26 / $1,341.82	Professional		$733.00	$1,007.26	$1,341.82
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 $502.57 / $749.66 / $1,405.62	Professional		$502.57	$749.66	$1,405.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $722.14 / $1,000.20 / $1,075.50	Professional		$722.14	$1,000.20	$1,075.50