Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.60 / $4,277.00 / $7,119.04	Facility		$1,513.60	$4,277.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.70 / $616.21 / $1,503.92	Professional		$390.70	$616.21	$1,503.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.08 / $939.59 / $1,174.49	Professional		$683.08	$939.59	$1,174.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.49 / $607.41 / $1,242.54	Professional		$390.49	$607.41	$1,242.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.11 / $1,025.93 / $4,898.00	Facility		$498.11	$1,025.93	$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 $438.49 / $812.75 / $2,767.26	Professional		$438.49	$812.75	$2,767.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $765.29 / $1,062.42 / $1,331.66	Facility		$765.29	$1,062.42	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $937.40 / $1,231.94	Professional		$530.00	$937.40	$1,231.94
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 $433.99 / $631.26 / $1,284.34	Professional		$433.99	$631.26	$1,284.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $653.01 / $826.60 / $972.40	Professional		$653.01	$826.60	$972.40