Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.63 / $4,277.00 / $7,119.04	Facility		$1,326.63	$4,277.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.08 / $673.92 / $2,005.00	Professional		$419.08	$673.92	$2,005.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.92 / $994.16 / $1,241.69	Professional		$778.92	$994.16	$1,241.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $415.07 / $646.01 / $1,238.36	Professional		$415.07	$646.01	$1,238.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $536.55 / $1,090.08 / $6,608.00	Facility		$536.55	$1,090.08	$6,608.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.19 / $862.71 / $2,975.04	Professional		$465.19	$862.71	$2,975.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $812.65 / $1,182.96 / $2,256.42	Facility		$812.65	$1,182.96	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $586.34 / $994.16 / $1,310.04	Professional		$586.34	$994.16	$1,310.04
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 $442.54 / $691.14 / $1,256.36	Professional		$442.54	$691.14	$1,256.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $692.51 / $876.60 / $1,031.30	Professional		$692.51	$876.60	$1,031.30