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 $593.97 / $974.79 / $3,893.51	Professional		$593.97	$974.79	$3,893.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.34 / $1,478.73 / $1,848.41	Professional		$944.34	$1,478.73	$1,848.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $595.99 / $891.88 / $1,421.65	Professional		$595.99	$891.88	$1,421.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $737.21 / $1,583.38 / $7,125.51	Facility		$737.21	$1,583.38	$7,125.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $675.89 / $1,079.13 / $1,982.93	Professional		$675.89	$1,079.13	$1,982.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $931.00 / $1,802.85 / $2,403.80	Facility		$931.00	$1,802.85	$2,403.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $1,244.24 / $1,767.74	Professional		$852.00	$1,244.24	$1,767.74
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 $661.67 / $913.71 / $1,532.99	Professional		$661.67	$913.71	$1,532.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $926.91 / $1,173.30 / $1,380.40	Professional		$926.91	$1,173.30	$1,380.40