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 $424.48 / $501.54 / $748.87	Professional		$424.48	$501.54	$748.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.47 / $1,089.96 / $1,362.45	Professional		$848.47	$1,089.96	$1,362.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $441.47 / $678.91 / $1,487.16	Professional		$441.47	$678.91	$1,487.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $548.86 / $1,173.17 / $5,297.91	Facility		$548.86	$1,173.17	$5,297.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.36 / $889.18 / $3,180.42	Professional		$480.36	$889.18	$3,180.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $867.88 / $1,234.59 / $2,256.42	Facility		$867.88	$1,234.59	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $681.06 / $1,067.67 / $1,370.79	Professional		$681.06	$1,067.67	$1,370.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.52 / $698.70 / $1,310.07	Professional		$458.52	$698.70	$1,310.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $743.71 / $941.40 / $1,107.59	Professional		$743.71	$941.40	$1,107.59