Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,585.87 / $7,119.04	Facility		$2,218.00	$3,585.87	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.92 / $812.44 / $2,539.00	Professional		$499.92	$812.44	$2,539.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.86 / $1,179.56 / $1,474.45	Professional		$920.86	$1,179.56	$1,474.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $480.69 / $734.83 / $1,576.11	Professional		$480.69	$734.83	$1,576.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $623.59 / $1,281.80 / $5,297.91	Facility		$623.59	$1,281.80	$5,297.91
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.67 / $1,014.43 / $3,441.99	Professional		$541.67	$1,014.43	$3,441.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $960.17 / $1,377.73 / $2,256.42	Facility		$960.17	$1,377.73	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $692.50 / $1,156.48 / $1,549.62	Professional		$692.50	$1,156.48	$1,549.62
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 $517.05 / $787.90 / $1,480.79	Professional		$517.05	$787.90	$1,480.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $805.56 / $1,019.70 / $1,199.70	Professional		$805.56	$1,019.70	$1,199.70