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 $454.94 / $750.70 / $803.60	Professional		$454.94	$750.70	$803.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.49 / $1,168.65 / $1,460.81	Professional		$908.49	$1,168.65	$1,460.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $470.95 / $749.21 / $1,543.92	Professional		$470.95	$749.21	$1,543.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $803.60 / $1,257.16 / $7,123.00	Facility		$803.60	$1,257.16	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.21 / $1,012.00 / $3,792.88	Professional		$521.21	$1,012.00	$3,792.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $942.39 / $1,344.52 / $2,961.89	Facility		$942.39	$1,344.52	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $747.58 / $1,132.96 / $1,481.83	Professional		$747.58	$1,132.96	$1,481.83
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 $521.21 / $758.13 / $1,542.46	Professional		$521.21	$758.13	$1,542.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.98 / $1,006.30 / $1,183.80	Professional		$794.98	$1,006.30	$1,183.80