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 $595.79 / $653.15 / $1,119.44	Professional		$595.79	$653.15	$1,119.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.12 / $1,474.84 / $1,843.55	Professional		$751.12	$1,474.84	$1,843.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $577.53 / $816.05 / $2,119.25	Professional		$577.53	$816.05	$2,119.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,020.84 / $1,806.61 / $9,874.90	Facility		$1,020.84	$1,806.61	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.73 / $1,213.58 / $2,143.50	Professional		$705.73	$1,213.58	$2,143.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,202.50 / $1,939.69 / $3,123.31	Facility		$1,202.50	$1,939.69	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $1,326.22 / $1,785.68	Professional		$876.00	$1,326.22	$1,785.68
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 $668.98 / $981.89 / $1,826.47	Professional		$668.98	$981.89	$1,826.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $953.77 / $1,320.90 / $1,420.40	Professional		$953.77	$1,320.90	$1,420.40