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 / $7,119.04	Facility		$2,906.00	$4,277.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.85 / $420.60 / $1,504.80	Professional		$264.85	$420.60	$1,504.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.32 / $604.78 / $968.03	Professional		$331.32	$604.78	$968.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.51 / $395.46 / $897.72	Professional		$202.51	$395.46	$897.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.02 / $630.24 / $5,023.00	Facility		$326.02	$630.24	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.92 / $588.32 / $1,602.32	Professional		$379.92	$588.32	$1,602.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $511.86 / $837.89 / $1,913.58	Facility		$511.86	$837.89	$1,913.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $465.53 / $630.24 / $951.68	Professional		$465.53	$630.24	$951.68
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 $360.00 / $471.04 / $887.40	Professional		$360.00	$471.04	$887.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $391.30 / $460.30 / $714.20	Professional		$391.30	$460.30	$714.20