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 $426.68 / $789.01 / $1,027.75	Professional		$426.68	$789.01	$1,027.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.09 / $1,132.22 / $1,695.52	Professional		$490.09	$1,132.22	$1,695.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $408.98 / $701.91 / $1,518.63	Professional		$408.98	$701.91	$1,518.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $940.00 / $1,368.99 / $6,306.00	Facility		$940.00	$1,368.99	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.50 / $1,122.14 / $1,888.33	Professional		$661.50	$1,122.14	$1,888.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $985.43 / $1,342.23 / $1,908.09	Facility		$985.43	$1,342.23	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $883.35 / $1,173.91 / $1,569.69	Professional		$883.35	$1,173.91	$1,569.69
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 $606.38 / $882.00 / $1,684.06	Professional		$606.38	$882.00	$1,684.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $853.60 / $1,004.30 / $1,296.50	Professional		$853.60	$1,004.30	$1,296.50