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 $422.56 / $681.32 / $758.31	Professional		$422.56	$681.32	$758.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.00 / $1,107.88 / $1,384.85	Professional		$813.00	$1,107.88	$1,384.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $444.88 / $682.63 / $1,821.98	Professional		$444.88	$682.63	$1,821.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $581.89 / $1,105.27 / $7,896.02	Facility		$581.89	$1,105.27	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.38 / $893.03 / $3,591.28	Professional		$489.38	$893.03	$3,591.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $892.39 / $1,190.26 / $2,961.89	Facility		$892.39	$1,190.26	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $684.39 / $965.50 / $1,391.87	Professional		$684.39	$965.50	$1,391.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.62 / $667.34 / $1,302.50	Professional		$466.62	$667.34	$1,302.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $751.84 / $951.70 / $1,119.70	Professional		$751.84	$951.70	$1,119.70