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 $467.78 / $879.24 / $3,088.35	Professional		$467.78	$879.24	$3,088.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.90 / $1,154.63 / $1,443.28	Professional		$666.90	$1,154.63	$1,443.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $640.50 / $1,681.62	Professional		$454.00	$640.50	$1,681.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $838.87 / $1,424.03 / $9,874.90	Facility		$838.87	$1,424.03	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $555.96 / $1,014.72 / $1,758.62	Professional		$555.96	$1,014.72	$1,758.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $943.05 / $1,523.59 / $3,123.31	Facility		$943.05	$1,523.59	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $782.20 / $1,097.98 / $1,523.59	Professional		$782.20	$1,097.98	$1,523.59
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 $524.16 / $773.50 / $1,440.07	Professional		$524.16	$773.50	$1,440.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $747.58 / $1,035.40 / $1,113.30	Professional		$747.58	$1,035.40	$1,113.30