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 $517.55 / $659.96 / $1,316.35	Professional		$517.55	$659.96	$1,316.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.39 / $1,279.28 / $1,599.10	Professional		$653.39	$1,279.28	$1,599.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $502.59 / $677.92 / $1,672.69	Professional		$502.59	$677.92	$1,672.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $819.38 / $1,539.22 / $7,104.12	Facility		$819.38	$1,539.22	$7,104.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $1,053.36 / $1,804.22	Professional		$587.63	$1,053.36	$1,804.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $901.29 / $1,476.01 / $2,052.00	Facility		$901.29	$1,476.01	$2,052.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $742.00 / $1,154.14 / $1,476.01	Professional		$742.00	$1,154.14	$1,476.01
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 $579.66 / $854.74 / $1,590.14	Professional		$579.66	$854.74	$1,590.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $828.79 / $1,147.80 / $1,234.20	Professional		$828.79	$1,147.80	$1,234.20