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 $355.60 / $549.90 / $814.94	Professional		$355.60	$549.90	$814.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.41 / $1,051.79 / $1,485.16	Professional		$716.41	$1,051.79	$1,485.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.38 / $678.43 / $1,748.98	Professional		$369.38	$678.43	$1,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $582.70 / $1,046.59 / $4,110.10	Facility		$582.70	$1,046.59	$4,110.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.15 / $1,056.00 / $3,849.36	Professional		$578.15	$1,056.00	$3,849.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $803.50 / $1,125.36 / $1,597.11	Facility		$803.50	$1,125.36	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $743.57 / $1,035.22 / $1,363.12	Professional		$743.57	$1,035.22	$1,363.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,101.36 / $4,199.85 / $7,155.00	Facility		$2,101.36	$4,199.85	$7,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.88 / $804.38 / $1,508.22	Professional		$527.88	$804.38	$1,508.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $708.50 / $833.50 / $1,161.20	Professional		$708.50	$833.50	$1,161.20