Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $429.71 / $801.76	Professional		$227.38	$429.71	$801.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.16 / $717.47 / $1,341.03	Professional		$535.16	$717.47	$1,341.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $626.20 / $1,177.21	Professional		$246.00	$626.20	$1,177.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $388.20 / $798.61 / $5,327.00	Facility		$388.20	$798.61	$5,327.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $490.88 / $919.28 / $3,421.84	Professional		$490.88	$919.28	$3,421.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $553.11 / $1,017.45 / $2,197.38	Facility		$553.11	$1,017.45	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $550.22 / $811.70 / $1,259.08	Professional		$550.22	$811.70	$1,259.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,732.00 / $7,407.10	Facility		$3,711.00	$5,732.00	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $466.28 / $714.00 / $1,338.75	Professional		$466.28	$714.00	$1,338.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $485.20 / $570.79 / $1,055.50	Professional		$485.20	$570.79	$1,055.50