Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.96 / $989.38 / $1,163.59	Professional		$619.96	$989.38	$1,163.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.65 / $1,362.65 / $1,703.31	Professional		$1,362.65	$1,362.65	$1,703.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $528.45 / $749.63 / $2,024.61	Professional		$528.45	$749.63	$2,024.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,098.50 / $2,435.12 / $10,320.00	Facility		$1,098.50	$2,435.12	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $759.56 / $1,394.69 / $3,021.25	Professional		$759.56	$1,394.69	$3,021.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,282.39 / $1,994.83 / $3,123.31	Facility		$1,282.39	$1,994.83	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $980.94 / $1,475.26 / $1,994.83	Professional		$980.94	$1,475.26	$1,994.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $11,051.00	Facility		$5,341.00	$6,588.00	$11,051.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.27 / $1,031.79 / $2,060.51	Professional		$696.27	$1,031.79	$2,060.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $877.53 / $1,215.40 / $1,306.90	Professional		$877.53	$1,215.40	$1,306.90