Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.70 / $3,175.00 / $6,298.62	Facility		$916.70	$3,175.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $453.54 / $1,137.26	Professional		$285.54	$453.54	$1,137.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.07 / $873.57 / $1,237.80	Professional		$596.07	$873.57	$1,237.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.13 / $593.46 / $997.92	Professional		$305.13	$593.46	$997.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.58 / $806.89 / $3,416.04	Facility		$483.58	$806.89	$3,416.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.22 / $808.04 / $3,069.06	Professional		$457.22	$808.04	$3,069.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $685.58 / $951.23 / $1,331.66	Facility		$685.58	$951.23	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $596.07 / $804.85 / $1,115.04	Professional		$596.07	$804.85	$1,115.04
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 $421.22 / $641.86 / $1,189.44	Professional		$421.22	$641.86	$1,189.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $604.50 / $711.20 / $986.80	Professional		$604.50	$711.20	$986.80