Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.95 / $764.10 / $1,144.03	Professional		$405.95	$764.10	$1,144.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.64 / $1,051.84 / $1,720.84	Professional		$516.64	$1,051.84	$1,720.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $395.34 / $712.62 / $1,369.14	Professional		$395.34	$712.62	$1,369.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $921.80 / $1,391.92 / $6,306.00	Facility		$921.80	$1,391.92	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.94 / $1,170.65 / $3,256.48	Professional		$678.94	$1,170.65	$3,256.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,373.04 / $1,908.09	Facility		$953.00	$1,373.04	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $1,157.51 / $1,608.31	Professional		$886.00	$1,157.51	$1,608.31
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 $622.36 / $905.25 / $1,697.34	Professional		$622.36	$905.25	$1,697.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $820.80 / $965.70 / $1,321.00	Professional		$820.80	$965.70	$1,321.00