Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.32 / $686.41 / $2,166.82	Professional		$145.32	$686.41	$2,166.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.15 / $1,382.12 / $1,727.65	Professional		$721.15	$1,382.12	$1,727.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $536.28 / $760.68 / $1,967.42	Professional		$536.28	$760.68	$1,967.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $938.68 / $1,624.48 / $6,945.09	Facility		$938.68	$1,624.48	$6,945.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.46 / $1,133.01 / $1,971.57	Professional		$647.46	$1,133.01	$1,971.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $889.41 / $1,604.52 / $2,428.62	Facility		$889.41	$1,604.52	$2,428.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $884.00 / $1,193.82 / $1,760.04	Professional		$884.00	$1,193.82	$1,760.04
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 $619.30 / $900.82 / $1,658.75	Professional		$619.30	$900.82	$1,658.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $890.49 / $1,233.30 / $1,326.20	Professional		$890.49	$1,233.30	$1,326.20