Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,977.00 / $4,778.89 / $7,754.64	Facility		$2,977.00	$4,778.89	$7,754.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.67 / $493.50 / $982.53	Professional		$306.67	$493.50	$982.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.54 / $901.35 / $1,368.79	Professional		$623.54	$901.35	$1,368.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.68 / $639.54 / $1,085.77	Professional		$310.68	$639.54	$1,085.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.74 / $867.92 / $5,321.00	Facility		$508.74	$867.92	$5,321.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.47 / $881.27 / $3,138.97	Professional		$485.47	$881.27	$3,138.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $728.26 / $1,046.60 / $2,197.38	Facility		$728.26	$1,046.60	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $623.54 / $880.67 / $1,307.77	Professional		$623.54	$880.67	$1,307.77
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 $461.34 / $792.21 / $1,430.28	Professional		$461.34	$792.21	$1,430.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $664.90 / $782.20 / $1,112.90	Professional		$664.90	$782.20	$1,112.90