Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.19 / $512.09 / $738.12	Professional		$312.19	$512.09	$738.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.41 / $945.63 / $1,319.60	Professional		$648.41	$945.63	$1,319.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $307.42 / $629.16 / $1,115.88	Professional		$307.42	$629.16	$1,115.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.09 / $885.80 / $5,567.24	Facility		$512.09	$885.80	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.87 / $961.21 / $3,324.53	Professional		$507.87	$961.21	$3,324.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $739.44 / $1,012.37 / $2,932.27	Facility		$739.44	$1,012.37	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $673.89 / $882.47 / $1,235.96	Professional		$673.89	$882.47	$1,235.96
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 $473.22 / $827.14 / $1,467.13	Professional		$473.22	$827.14	$1,467.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $652.00 / $767.10 / $1,050.20	Professional		$652.00	$767.10	$1,050.20