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 $606.91 / $1,140.25 / $4,022.69	Professional		$606.91	$1,140.25	$4,022.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.69 / $1,502.88 / $1,878.60	Professional		$764.69	$1,502.88	$1,878.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $587.99 / $831.18 / $2,175.39	Professional		$587.99	$831.18	$2,175.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $869.79 / $1,844.00 / $9,874.90	Facility		$869.79	$1,844.00	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $719.34 / $1,248.59 / $2,202.83	Professional		$719.34	$1,248.59	$2,202.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,225.11 / $1,975.13 / $3,123.31	Facility		$1,225.11	$1,975.13	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,350.70 / $1,840.86	Professional		$893.00	$1,350.70	$1,840.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.06 / $1,125.92 / $1,861.96	Professional		$688.06	$1,125.92	$1,861.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $970.67 / $1,344.40 / $1,445.60	Professional		$970.67	$1,344.40	$1,445.60