Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.69 / $581.54 / $2,416.30	Professional		$378.69	$581.54	$2,416.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.18 / $1,020.38 / $1,352.71	Professional		$768.18	$1,020.38	$1,352.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $333.87 / $629.57 / $941.59	Professional		$333.87	$629.57	$941.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $581.54 / $982.80 / $5,564.59	Facility		$581.54	$982.80	$5,564.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $519.88 / $992.50 / $3,461.44	Professional		$519.88	$992.50	$3,461.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $804.94 / $1,078.73 / $2,510.01	Facility		$804.94	$1,078.73	$2,510.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $773.39 / $975.21 / $1,297.77	Professional		$773.39	$975.21	$1,297.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,854.53 / $7,407.10	Facility		$3,711.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $486.18 / $756.19 / $1,408.41	Professional		$486.18	$756.19	$1,408.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $709.80 / $835.00 / $1,058.50	Professional		$709.80	$835.00	$1,058.50