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 $597.66 / $1,122.84 / $3,962.39	Professional		$597.66	$1,122.84	$3,962.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.98 / $1,480.29 / $1,850.36	Professional		$752.98	$1,480.29	$1,850.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.37 / $818.89 / $2,138.39	Professional		$579.37	$818.89	$2,138.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $929.34 / $1,812.75 / $9,874.90	Facility		$929.34	$1,812.75	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $708.15 / $1,220.52 / $2,149.56	Professional		$708.15	$1,220.52	$2,149.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,206.23 / $1,944.90 / $3,123.31	Facility		$1,206.23	$1,944.90	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,331.98 / $1,788.25	Professional		$855.00	$1,331.98	$1,788.25
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 $670.73 / $985.25 / $1,847.34	Professional		$670.73	$985.25	$1,847.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $956.77 / $1,325.10 / $1,424.80	Professional		$956.77	$1,325.10	$1,424.80