Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $393.51 / $834.36	Professional		$170.91	$393.51	$834.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.94 / $730.74 / $1,366.35	Professional		$358.94	$730.74	$1,366.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $620.04 / $1,075.18	Professional		$184.64	$620.04	$1,075.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $299.08 / $730.74 / $3,416.04	Facility		$299.08	$730.74	$3,416.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.01 / $756.04 / $3,190.66	Professional		$426.01	$756.04	$3,190.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $412.66 / $917.79 / $1,331.66	Facility		$412.66	$917.79	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $358.94 / $722.13 / $1,164.34	Professional		$358.94	$722.13	$1,164.34
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 $395.64 / $653.70 / $1,225.68	Professional		$395.64	$653.70	$1,225.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $364.50 / $428.80 / $1,060.00	Professional		$364.50	$428.80	$1,060.00