Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $7,119.04	Facility		$3,468.00	$4,917.20	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $573.91 / $1,523.28	Professional		$402.20	$573.91	$1,523.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.54 / $956.73 / $1,195.92	Professional		$695.54	$956.73	$1,195.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $394.34 / $609.25 / $1,282.84	Professional		$394.34	$609.25	$1,282.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $506.77 / $1,042.55 / $4,898.00	Facility		$506.77	$1,042.55	$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 $442.10 / $822.00 / $2,813.71	Professional		$442.10	$822.00	$2,813.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $779.11 / $1,062.42 / $1,331.66	Facility		$779.11	$1,062.42	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $559.58 / $947.59 / $1,251.27	Professional		$559.58	$947.59	$1,251.27
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 $420.00 / $675.17 / $1,204.82	Professional		$420.00	$675.17	$1,204.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.12 / $835.60 / $983.00	Professional		$660.12	$835.60	$983.00