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 $532.91 / $1,000.52 / $3,483.06	Professional		$532.91	$1,000.52	$3,483.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.93 / $1,319.02 / $1,648.77	Professional		$673.93	$1,319.02	$1,648.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.36 / $726.45 / $1,625.48	Professional		$512.36	$726.45	$1,625.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.19 / $1,540.80 / $7,104.12	Facility		$801.19	$1,540.80	$7,104.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.47 / $1,045.69 / $1,851.39	Professional		$614.47	$1,045.69	$1,851.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,045.69 / $1,539.00 / $2,052.00	Facility		$1,045.69	$1,539.00	$2,052.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.00 / $1,118.83 / $1,543.25	Professional		$831.00	$1,118.83	$1,543.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.63 / $857.18 / $1,577.16	Professional		$584.63	$857.18	$1,577.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $850.20 / $1,177.50 / $1,266.09	Professional		$850.20	$1,177.50	$1,266.09