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 $347.30 / $580.66 / $643.72	Professional		$347.30	$580.66	$643.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.93 / $942.71 / $1,178.39	Professional		$704.93	$942.71	$1,178.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $580.70 / $1,244.67	Professional		$378.00	$580.70	$1,244.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.48 / $1,010.36 / $4,873.45	Facility		$515.48	$1,010.36	$4,873.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $406.64 / $795.38 / $3,048.64	Professional		$406.64	$795.38	$3,048.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $757.96 / $1,071.34 / $1,597.11	Facility		$757.96	$1,071.34	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $910.14 / $1,190.42	Professional		$580.54	$910.14	$1,190.42
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 $397.02 / $606.00 / $1,128.68	Professional		$397.02	$606.00	$1,128.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $639.82 / $809.90 / $952.80	Professional		$639.82	$809.90	$952.80