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 $320.45 / $505.95 / $593.38	Professional		$320.45	$505.95	$593.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $816.50 / $1,020.62	Professional		$639.00	$816.50	$1,020.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $518.15 / $1,346.63	Professional		$326.16	$518.15	$1,346.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $557.54 / $874.04 / $7,123.00	Facility		$557.54	$874.04	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.76 / $693.85 / $2,760.64	Professional		$359.76	$693.85	$2,760.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $656.01 / $929.98 / $2,961.89	Facility		$656.01	$929.98	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $506.44 / $787.16 / $1,024.58	Professional		$506.44	$787.16	$1,024.58
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 $359.76 / $523.28 / $1,064.65	Professional		$359.76	$523.28	$1,064.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $552.61 / $699.50 / $823.00	Professional		$552.61	$699.50	$823.00