Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $545.92 / $828.85	Professional		$347.26	$545.92	$828.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.58 / $1,057.63 / $1,385.83	Professional		$718.58	$1,057.63	$1,385.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $370.58 / $686.30 / $1,262.00	Professional		$370.58	$686.30	$1,262.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.70 / $993.21 / $3,258.00	Facility		$587.70	$993.21	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $582.85 / $1,051.73 / $3,646.93	Professional		$582.85	$1,051.73	$3,646.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $807.86 / $1,131.73 / $1,416.56	Facility		$807.86	$1,131.73	$1,416.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $755.65 / $977.08 / $1,385.83	Professional		$755.65	$977.08	$1,385.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.08 / $816.88 / $1,616.86	Professional		$536.08	$816.88	$1,616.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $712.30 / $838.00 / $1,174.00	Professional		$712.30	$838.00	$1,174.00