Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.29 / $474.62 / $937.00	Professional		$262.29	$474.62	$937.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.88 / $904.23 / $1,311.48	Professional		$544.88	$904.23	$1,311.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $576.74 / $871.08	Professional		$304.58	$576.74	$871.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $401.34 / $855.75 / $3,416.04	Facility		$401.34	$855.75	$3,416.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.43 / $854.80 / $2,446.64	Professional		$441.43	$854.80	$2,446.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $736.63 / $1,054.60 / $1,381.48	Facility		$736.63	$1,054.60	$1,381.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $540.24 / $854.80 / $1,260.01	Professional		$540.24	$854.80	$1,260.01
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 $403.30 / $718.82 / $1,510.77	Professional		$403.30	$718.82	$1,510.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $648.79 / $763.30 / $1,166.50	Professional		$648.79	$763.30	$1,166.50