Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.57 / $752.15 / $752.15	Professional		$608.57	$752.15	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $762.66 / $1,405.16	Professional		$540.82	$762.66	$1,405.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $600.74 / $919.24 / $984.26	Professional		$600.74	$919.24	$984.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $601.57 / $1,358.12 / $3,876.00	Facility		$601.57	$1,358.12	$3,876.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $809.37 / $1,485.63 / $2,525.57	Professional		$809.37	$1,485.63	$2,525.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $474.18 / $797.34 / $1,512.87	Facility		$474.18	$797.34	$1,512.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.39 / $1,429.95 / $2,197.44	Professional		$954.39	$1,429.95	$2,197.44
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 $687.28 / $1,485.63 / $2,457.42	Professional		$687.28	$1,485.63	$2,457.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $581.28 / $805.00 / $865.60	Professional		$581.28	$805.00	$865.60