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 $447.73 / $468.43 / $1,766.85	Professional		$447.73	$468.43	$1,766.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.16 / $803.46 / $1,429.65	Professional		$486.16	$803.46	$1,429.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $276.72 / $569.19 / $992.14	Professional		$276.72	$569.19	$992.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $403.34 / $764.96 / $1,372.73	Facility		$403.34	$764.96	$1,372.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.29 / $794.14 / $2,221.28	Professional		$496.29	$794.14	$2,221.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.29 / $690.31 / $1,230.57	Facility		$341.29	$690.31	$1,230.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $574.47 / $803.46 / $1,305.16	Professional		$574.47	$803.46	$1,305.16
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 $479.83 / $685.47 / $1,125.04	Professional		$479.83	$685.47	$1,125.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $538.90 / $634.00 / $1,046.90	Professional		$538.90	$634.00	$1,046.90