Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.54 / $553.10 / $740.49	Professional		$405.54	$553.10	$740.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.00 / $1,026.07 / $1,282.58	Professional		$803.00	$1,026.07	$1,282.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $411.85 / $653.41 / $1,480.36	Professional		$411.85	$653.41	$1,480.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $666.30 / $1,089.00 / $4,645.00	Facility		$666.30	$1,089.00	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.46 / $891.77 / $4,047.02	Professional		$458.46	$891.77	$4,047.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $826.10 / $1,105.69 / $1,597.11	Facility		$826.10	$1,105.69	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $662.22 / $997.81 / $1,309.44	Professional		$662.22	$997.81	$1,309.44
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 $437.62 / $666.85 / $1,229.50	Professional		$437.62	$666.85	$1,229.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $695.04 / $879.80 / $1,035.09	Professional		$695.04	$879.80	$1,035.09