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 $672.82 / $1,264.30 / $4,412.33	Professional		$672.82	$1,264.30	$4,412.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.04 / $1,657.15 / $2,071.42	Professional		$850.04	$1,657.15	$2,071.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.01 / $918.81 / $2,026.11	Professional		$651.01	$918.81	$2,026.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,029.00 / $2,022.93 / $9,874.90	Facility		$1,029.00	$2,022.93	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $793.75 / $1,358.91 / $2,292.59	Professional		$793.75	$1,358.91	$2,292.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,151.56 / $2,007.84 / $3,123.31	Facility		$1,151.56	$2,007.84	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $942.00 / $1,483.90 / $1,979.39	Professional		$942.00	$1,483.90	$1,979.39
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 $752.86 / $1,104.34 / $2,044.50	Professional		$752.86	$1,104.34	$2,044.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,072.82 / $1,485.80 / $1,597.60	Professional		$1,072.82	$1,485.80	$1,597.60