Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.06 / $4,604.83 / $7,119.04	Facility		$1,391.06	$4,604.83	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.18 / $732.14 / $2,332.19	Professional		$436.18	$732.14	$2,332.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.11 / $1,045.84 / $1,302.07	Professional		$817.11	$1,045.84	$1,302.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.93 / $682.15 / $1,335.66	Professional		$436.93	$682.15	$1,335.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.91 / $1,127.50 / $4,898.00	Facility		$560.91	$1,127.50	$4,898.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $380.79 / $380.79 / $380.79	Facility	AS	$380.79	$380.79	$380.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.54 / $909.59 / $3,114.37	Professional		$491.54	$909.59	$3,114.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $851.52 / $1,126.79 / $1,434.09	Facility		$851.52	$1,126.79	$1,434.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $617.75 / $1,045.84 / $1,378.89	Professional		$617.75	$1,045.84	$1,378.89
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 $466.96 / $706.48 / $1,324.65	Professional		$466.96	$706.48	$1,324.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $728.54 / $922.20 / $1,084.90	Professional		$728.54	$922.20	$1,084.90