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 $496.88 / $519.30 / $2,032.84	Professional		$496.88	$519.30	$2,032.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.04 / $965.11 / $1,544.57	Professional		$531.04	$965.11	$1,544.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $324.13 / $662.20 / $1,194.68	Professional		$324.13	$662.20	$1,194.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.30 / $970.31 / $5,023.00	Facility		$519.30	$970.31	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.69 / $936.12 / $2,562.56	Professional		$575.69	$936.12	$2,562.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $776.24 / $1,199.41 / $1,913.58	Facility		$776.24	$1,199.41	$1,913.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $692.00 / $947.58 / $1,485.51	Professional		$692.00	$947.58	$1,485.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $750.90 / $1,375.12	Professional		$531.75	$750.90	$1,375.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $633.20 / $744.90 / $1,149.50	Professional		$633.20	$744.90	$1,149.50