Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $5,370.32 / $7,943.28	Facility		$575.44	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $870.96	Professional		$446.68	$575.44	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,754.23 / $2,818.38	Facility		$2,691.53	$2,754.23	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $5,888.44 / $7,244.36	Professional		$2,041.74	$5,888.44	$7,244.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $537.03 / $870.96	Professional		$151.36	$537.03	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,630.27 / $7,244.36	Facility		$691.83	$2,630.27	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $4,073.80 / $12,589.25	Professional		$691.83	$4,073.80	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,041.74 / $2,884.03	Professional		$691.83	$2,041.74	$2,884.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,238.72	Professional		$1,621.81	$1,621.81	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $6,456.54 / $17,782.79	Professional		$660.69	$6,456.54	$17,782.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,174.90	Professional		$794.33	$1,000.00	$1,174.90