Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,731.57 / $7,119.04	Facility		$2,906.00	$4,731.57	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.69 / $671.08 / $938.25	Professional		$466.69	$671.08	$938.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.65 / $1,161.11 / $1,567.66	Professional		$924.65	$1,161.11	$1,567.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $425.89 / $756.80 / $1,378.75	Professional		$425.89	$756.80	$1,378.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.79 / $1,205.96 / $6,608.00	Facility		$634.79	$1,205.96	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.73 / $1,156.59 / $4,922.00	Professional		$616.73	$1,156.59	$4,922.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $968.69 / $1,248.44 / $5,269.25	Facility		$968.69	$1,248.44	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $923.83 / $1,156.59 / $1,459.88	Professional		$923.83	$1,156.59	$1,459.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.87 / $857.71 / $1,597.49	Professional		$562.87	$857.71	$1,597.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $840.09 / $1,004.90 / $1,251.00	Professional		$840.09	$1,004.90	$1,251.00