Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.70 / $3,666.78 / $7,119.04	Facility		$1,128.70	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $333.44 / $1,260.16	Professional		$203.66	$333.44	$1,260.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.77 / $605.75 / $958.29	Professional		$329.77	$605.75	$958.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $396.25 / $868.72	Professional		$205.96	$396.25	$868.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.44 / $605.29 / $5,023.00	Facility		$333.44	$605.29	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.02 / $596.90 / $1,622.24	Professional		$386.02	$596.90	$1,622.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $514.49 / $821.21 / $1,913.58	Facility		$514.49	$821.21	$1,913.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $445.96 / $605.29 / $931.67	Professional		$445.96	$605.29	$931.67
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 $353.85 / $500.46 / $1,047.16	Professional		$353.85	$500.46	$1,047.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $395.40 / $465.20 / $711.40	Professional		$395.40	$465.20	$711.40