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 $525.21 / $986.46 / $3,491.18	Professional		$525.21	$986.46	$3,491.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.31 / $1,297.98 / $1,622.48	Professional		$703.31	$1,297.98	$1,622.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $507.64 / $717.77 / $1,746.69	Professional		$507.64	$717.77	$1,746.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $859.90 / $1,590.77 / $6,173.85	Facility		$859.90	$1,590.77	$6,173.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $621.83 / $1,059.26 / $1,883.34	Professional		$621.83	$1,059.26	$1,883.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,058.13 / $1,598.00 / $2,428.62	Facility		$1,058.13	$1,598.00	$2,428.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $846.00 / $1,168.54 / $1,563.76	Professional		$846.00	$1,168.54	$1,563.76
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 $589.64 / $865.15 / $1,622.16	Professional		$589.64	$865.15	$1,622.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $839.22 / $1,162.30 / $1,249.80	Professional		$839.22	$1,162.30	$1,249.80