Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $5,091.00 / $7,119.04	Facility		$3,468.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.01 / $493.46 / $1,167.78	Professional		$288.01	$493.46	$1,167.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.11 / $894.37 / $1,344.92	Professional		$621.11	$894.37	$1,344.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $313.13 / $611.33 / $1,235.55	Professional		$313.13	$611.33	$1,235.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $493.46 / $857.88 / $3,984.48	Facility		$493.46	$857.88	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $493.15 / $923.54 / $3,093.38	Professional		$493.15	$923.54	$3,093.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $687.76 / $1,013.83 / $1,597.11	Facility		$687.76	$1,013.83	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $635.91 / $862.06 / $1,244.22	Professional		$635.91	$862.06	$1,244.22
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 $470.74 / $717.31 / $1,335.99	Professional		$470.74	$717.31	$1,335.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $606.50 / $713.50 / $1,051.70	Professional		$606.50	$713.50	$1,051.70