Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.20 / $3,237.00 / $7,119.04	Facility		$1,091.20	$3,237.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.06 / $544.09 / $870.86	Professional		$335.06	$544.09	$870.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.79 / $961.99 / $1,384.04	Professional		$681.79	$961.99	$1,384.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $686.53 / $1,166.09	Professional		$364.16	$686.53	$1,166.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.32 / $970.60 / $5,567.24	Facility		$574.32	$970.60	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $551.66 / $1,033.05 / $3,455.35	Professional		$551.66	$1,033.05	$3,455.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $799.85 / $1,125.90 / $2,932.27	Facility		$799.85	$1,125.90	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $729.92 / $961.99 / $1,384.04	Professional		$729.92	$961.99	$1,384.04
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 $526.54 / $863.68 / $1,632.47	Professional		$526.54	$863.68	$1,632.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.30 / $829.70 / $1,168.00	Professional		$705.30	$829.70	$1,168.00