Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,277.00 / $6,577.15	Facility		$2,906.00	$4,277.00	$6,577.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.51 / $377.83 / $1,423.53	Professional		$232.51	$377.83	$1,423.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.36 / $675.87 / $1,113.14	Professional		$378.36	$675.87	$1,113.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.74 / $473.30 / $888.31	Professional		$221.74	$473.30	$888.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.50 / $622.98 / $1,341.00	Facility		$359.50	$622.98	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.19 / $642.97 / $1,777.04	Professional		$398.19	$642.97	$1,777.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.29 / $569.96 / $1,024.89	Facility		$341.29	$569.96	$1,024.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.78 / $645.08 / $1,067.35	Professional		$459.78	$645.08	$1,067.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.29 / $518.48 / $977.39	Professional		$409.29	$518.48	$977.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $432.80 / $509.20 / $814.70	Professional		$432.80	$509.20	$814.70