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 $408.52 / $479.70 / $714.52	Professional		$408.52	$479.70	$714.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.30 / $1,040.88 / $1,301.09	Professional		$809.30	$1,040.88	$1,301.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $419.92 / $668.40 / $1,386.35	Professional		$419.92	$668.40	$1,386.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $1,119.60 / $7,123.00	Facility		$621.29	$1,119.60	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.72 / $904.07 / $3,378.00	Professional		$464.72	$904.07	$3,378.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $804.00 / $1,119.60 / $2,961.89	Facility		$804.00	$1,119.60	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.41 / $1,013.22 / $1,325.24	Professional		$660.41	$1,013.22	$1,325.24
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 $443.59 / $675.95 / $1,235.98	Professional		$443.59	$675.95	$1,235.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $708.79 / $897.20 / $1,055.50	Professional		$708.79	$897.20	$1,055.50