Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.61 / $4,917.20 / $6,446.00	Facility		$1,205.61	$4,917.20	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.61 / $610.76 / $1,772.00	Professional		$381.61	$610.76	$1,772.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.18 / $909.21 / $1,136.51	Professional		$711.18	$909.21	$1,136.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.79 / $584.84 / $1,202.23	Professional		$376.79	$584.84	$1,202.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.47 / $992.22 / $6,608.00	Facility		$483.47	$992.22	$6,608.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.33 / $785.48 / $2,686.57	Professional		$423.33	$785.48	$2,686.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $740.61 / $1,076.16 / $2,256.42	Facility		$740.61	$1,076.16	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $534.29 / $904.66 / $1,193.14	Professional		$534.29	$904.66	$1,193.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,854.53 / $7,407.10	Facility		$3,711.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $402.16 / $626.77 / $1,241.25	Professional		$402.16	$626.77	$1,241.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.17 / $797.70 / $938.50	Professional		$630.17	$797.70	$938.50