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 $397.31 / $746.50 / $1,067.11	Professional		$397.31	$746.50	$1,067.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.52 / $1,139.08 / $1,633.35	Professional		$501.52	$1,139.08	$1,633.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.54 / $701.45 / $1,240.70	Professional		$387.54	$701.45	$1,240.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $874.00 / $1,380.04 / $6,306.00	Facility		$874.00	$1,380.04	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $658.29 / $1,163.06 / $3,284.00	Professional		$658.29	$1,163.06	$3,284.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $934.49 / $1,380.04 / $1,908.09	Facility		$934.49	$1,380.04	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $836.04 / $1,163.06 / $1,654.77	Professional		$836.04	$1,163.06	$1,654.77
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 $618.60 / $915.89 / $1,705.93	Professional		$618.60	$915.89	$1,705.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $809.50 / $952.30 / $1,334.30	Professional		$809.50	$952.30	$1,334.30