Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.93 / $467.53 / $744.29	Professional		$343.93	$467.53	$744.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.56 / $874.54 / $1,412.12	Professional		$484.56	$874.54	$1,412.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $291.86 / $602.20 / $1,165.79	Professional		$291.86	$602.20	$1,165.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.53 / $803.88 / $2,969.00	Facility		$467.53	$803.88	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.64 / $834.60 / $2,311.12	Professional		$524.64	$834.60	$2,311.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $725.96 / $1,236.16	Facility		$528.54	$725.96	$1,236.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $621.36 / $852.71 / $1,365.75	Professional		$621.36	$852.71	$1,365.75
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 $496.26 / $684.32 / $1,197.83	Professional		$496.26	$684.32	$1,197.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $571.50 / $672.40 / $1,048.30	Professional		$571.50	$672.40	$1,048.30