Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.32 / $390.94 / $862.34	Professional		$239.32	$390.94	$862.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.88 / $755.73 / $1,082.95	Professional		$468.88	$755.73	$1,082.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $240.02 / $458.18 / $999.31	Professional		$240.02	$458.18	$999.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $377.49 / $666.92 / $3,258.00	Facility		$377.49	$666.92	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.92 / $687.58 / $1,944.88	Professional		$373.92	$687.58	$1,944.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $405.17 / $602.35 / $924.29	Facility		$405.17	$602.35	$924.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $505.13 / $682.65 / $1,003.50	Professional		$505.13	$682.65	$1,003.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $535.72 / $1,012.99	Professional		$356.93	$535.72	$1,012.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $514.70 / $605.50 / $853.20	Professional		$514.70	$605.50	$853.20