Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $519.72 / $806.47	Professional		$302.43	$519.72	$806.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.16 / $955.37 / $1,479.32	Professional		$620.16	$955.37	$1,479.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $314.93 / $687.17 / $1,212.51	Professional		$314.93	$687.17	$1,212.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.72 / $854.50 / $3,322.42	Facility		$519.72	$854.50	$3,322.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.62 / $952.71 / $3,464.42	Professional		$520.62	$952.71	$3,464.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $700.97 / $1,078.19 / $1,514.09	Facility		$700.97	$1,078.19	$1,514.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $603.66 / $928.55 / $1,379.94	Professional		$603.66	$928.55	$1,379.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.03 / $776.27 / $1,579.37	Professional		$508.03	$776.27	$1,579.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $650.70 / $765.60 / $1,161.20	Professional		$650.70	$765.60	$1,161.20