Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,851.26 / $3,666.78 / $7,119.04	Facility		$2,851.26	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $497.10 / $1,525.52	Professional		$87.14	$497.10	$1,525.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $232.76 / $1,034.26	Professional		$126.10	$232.76	$1,034.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $404.57 / $958.19	Professional		$88.88	$404.57	$958.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $692.47 / $3,258.00	Facility		$128.66	$692.47	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.62 / $800.54 / $1,707.32	Professional		$258.62	$800.54	$1,707.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.79 / $764.91 / $1,186.75	Facility		$202.79	$764.91	$1,186.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $764.91 / $1,186.75	Professional		$180.50	$764.91	$1,186.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.10 / $635.60 / $1,245.89	Professional		$466.10	$635.60	$1,245.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $173.00 / $733.10	Professional		$147.00	$173.00	$733.10