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 $580.77 / $1,091.32 / $3,844.71	Professional		$580.77	$1,091.32	$3,844.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.70 / $1,435.88 / $1,794.85	Professional		$758.70	$1,435.88	$1,794.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.51 / $758.15 / $1,948.28	Professional		$562.51	$758.15	$1,948.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $852.01 / $1,659.80 / $5,847.00	Facility		$852.01	$1,659.80	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $658.20 / $1,254.27 / $1,947.84	Professional		$658.20	$1,254.27	$1,947.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,001.00 / $1,549.38 / $2,052.00	Facility		$1,001.00	$1,549.38	$2,052.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $770.68 / $1,353.37 / $1,822.67	Professional		$770.68	$1,353.37	$1,822.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.38 / $957.38 / $1,781.24	Professional		$642.38	$957.38	$1,781.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $928.33 / $1,285.80 / $1,382.50	Professional		$928.33	$1,285.80	$1,382.50