Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.19 / $602.59 / $2,219.00	Professional		$403.19	$602.59	$2,219.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.77 / $1,108.73 / $1,525.09	Professional		$711.77	$1,108.73	$1,525.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.61 / $703.09 / $1,487.16	Professional		$369.61	$703.09	$1,487.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $583.70 / $1,033.01 / $3,258.00	Facility		$583.70	$1,033.01	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $566.78 / $1,028.74 / $2,988.96	Professional		$566.78	$1,028.74	$2,988.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.40 / $938.10 / $1,380.74	Facility		$528.40	$938.10	$1,380.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $774.40 / $1,019.18 / $1,450.80	Professional		$774.40	$1,019.18	$1,450.80
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 $524.36 / $799.02 / $1,488.18	Professional		$524.36	$799.02	$1,488.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $784.90 / $923.40 / $1,214.00	Professional		$784.90	$923.40	$1,214.00