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 $264.70 / $417.91 / $1,027.33	Professional		$264.70	$417.91	$1,027.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $782.02 / $1,233.90	Professional		$422.40	$782.02	$1,233.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $533.85 / $1,005.81	Professional		$260.08	$533.85	$1,005.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $417.91 / $744.06 / $1,623.00	Facility		$417.91	$744.06	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.13 / $744.06 / $2,065.12	Professional		$469.13	$744.06	$2,065.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $656.58 / $1,130.22	Facility		$528.54	$656.58	$1,130.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $558.66 / $753.02 / $1,177.55	Professional		$558.66	$753.02	$1,177.55
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 $399.20 / $605.22 / $1,092.08	Professional		$399.20	$605.22	$1,092.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $506.30 / $595.70 / $911.60	Professional		$506.30	$595.70	$911.60