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 $267.45 / $440.05 / $662.75	Professional		$267.45	$440.05	$662.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.49 / $813.19 / $1,207.60	Professional		$564.49	$813.19	$1,207.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $552.86 / $1,001.78	Professional		$283.87	$552.86	$1,001.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.24 / $784.10 / $5,567.24	Facility		$446.24	$784.10	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.92 / $855.71 / $2,886.55	Professional		$455.92	$855.71	$2,886.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $622.26 / $909.74 / $2,932.27	Facility		$622.26	$909.74	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $788.00 / $1,116.93	Professional		$572.96	$788.00	$1,116.93
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 $420.40 / $647.05 / $1,213.23	Professional		$420.40	$647.05	$1,213.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $548.70 / $645.50 / $943.80	Professional		$548.70	$645.50	$943.80