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 $347.30 / $611.96 / $1,269.36	Professional		$347.30	$611.96	$1,269.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.39 / $1,059.73 / $1,759.76	Professional		$790.39	$1,059.73	$1,759.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.14 / $821.76 / $2,435.26	Professional		$331.14	$821.76	$2,435.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.28 / $1,298.34 / $8,572.06	Facility		$567.28	$1,298.34	$8,572.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.57 / $1,320.27 / $4,610.24	Professional		$691.57	$1,320.27	$4,610.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $888.84 / $1,401.72 / $5,269.25	Facility		$888.84	$1,401.72	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $722.16 / $1,232.00 / $1,733.09	Professional		$722.16	$1,232.00	$1,733.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $660.14 / $1,069.35 / $1,887.73	Professional		$660.14	$1,069.35	$1,887.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.30 / $829.70 / $1,412.60	Professional		$705.30	$829.70	$1,412.60