Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.15 / $761.67 / $961.19	Professional		$405.15	$761.67	$961.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.52 / $1,184.84 / $1,576.70	Professional		$513.52	$1,184.84	$1,576.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.23 / $654.80 / $1,418.55	Professional		$393.23	$654.80	$1,418.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $878.00 / $1,292.00 / $6,306.00	Facility		$878.00	$1,292.00	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $618.48 / $1,107.24 / $3,604.00	Professional		$618.48	$1,107.24	$3,604.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $950.51 / $1,320.99 / $1,908.09	Facility		$950.51	$1,320.99	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $850.94 / $1,135.39 / $1,470.02	Professional		$850.94	$1,135.39	$1,470.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $5,854.53 / $7,407.10	Facility		$2,950.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $566.94 / $824.64 / $1,546.20	Professional		$566.94	$824.64	$1,546.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $810.86 / $968.70 / $1,207.50	Professional		$810.86	$968.70	$1,207.50