Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.58 / $518.54 / $2,106.34	Professional		$354.58	$518.54	$2,106.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.20 / $996.27 / $1,345.90	Professional		$489.20	$996.27	$1,345.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $313.89 / $595.44 / $1,116.11	Professional		$313.89	$595.44	$1,116.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $943.50 / $5,023.00	Facility		$518.54	$943.50	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $870.54 / $2,868.00	Professional		$496.74	$870.54	$2,868.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $762.01 / $1,089.00 / $1,913.58	Facility		$762.01	$1,089.00	$1,913.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $655.16 / $903.45 / $1,245.43	Professional		$655.16	$903.45	$1,245.43
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 $475.15 / $647.92 / $1,214.41	Professional		$475.15	$647.92	$1,214.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $620.70 / $730.30 / $975.10	Professional		$620.70	$730.30	$975.10