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 $425.73 / $799.53 / $1,088.44	Professional		$425.73	$799.53	$1,088.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $1,214.21 / $1,790.96	Professional		$535.26	$1,214.21	$1,790.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.66 / $737.65 / $1,137.41	Professional		$414.66	$737.65	$1,137.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $785.62 / $1,410.00 / $6,306.00	Facility		$785.62	$1,410.00	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $699.90 / $1,188.73 / $3,428.96	Professional		$699.90	$1,188.73	$3,428.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $999.27 / $1,410.00 / $2,308.21	Facility		$999.27	$1,410.00	$2,308.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $892.00 / $1,190.13 / $1,664.57	Professional		$892.00	$1,190.13	$1,664.57
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 $635.73 / $880.62 / $1,745.22	Professional		$635.73	$880.62	$1,745.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $865.60 / $1,018.40 / $1,367.00	Professional		$865.60	$1,018.40	$1,367.00