Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $617.17 / $1,856.03	Professional		$266.58	$617.17	$1,856.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.09 / $1,135.54 / $1,824.07	Professional		$626.09	$1,135.54	$1,824.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.61 / $794.09 / $1,251.76	Professional		$382.61	$794.09	$1,251.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.17 / $1,208.83 / $5,454.00	Facility		$617.17	$1,208.83	$5,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $729.28 / $1,185.88 / $3,031.28	Professional		$729.28	$1,185.88	$3,031.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,562.73 / $2,256.42	Facility		$953.00	$1,562.73	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $822.94 / $1,242.88 / $1,797.74	Professional		$822.94	$1,242.88	$1,797.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,970.00 / $4,462.75 / $7,350.19	Facility		$1,970.00	$4,462.75	$7,350.19
United Facility/Professional Professional Modifier Low / Median / High Price $697.58 / $1,014.66 / $1,874.48	Professional		$697.58	$1,014.66	$1,874.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $739.30 / $869.80 / $1,351.10	Professional		$739.30	$869.80	$1,351.10