Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.35 / $796.17 / $846.58	Professional		$484.35	$796.17	$846.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.00 / $1,227.85 / $1,534.83	Professional		$962.00	$1,227.85	$1,534.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $497.19 / $791.55 / $1,640.58	Professional		$497.19	$791.55	$1,640.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.70 / $1,293.20 / $4,645.00	Facility		$741.70	$1,293.20	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $551.47 / $1,063.00 / $3,995.68	Professional		$551.47	$1,063.00	$3,995.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $962.00 / $1,257.44 / $1,665.40	Facility		$962.00	$1,257.44	$1,665.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $793.48 / $1,197.89 / $1,566.75	Professional		$793.48	$1,197.89	$1,566.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $802.14 / $1,493.99	Professional		$526.41	$802.14	$1,493.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $837.56 / $1,060.20 / $1,247.30	Professional		$837.56	$1,060.20	$1,247.30