Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.90 / $3,259.25 / $7,119.04	Facility		$1,866.90	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $748.40 / $1,374.75	Professional		$152.63	$748.40	$1,374.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.34 / $1,665.92 / $2,240.89	Professional		$330.34	$1,665.92	$2,240.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $1,004.32 / $1,857.82	Professional		$143.02	$1,004.32	$1,857.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.54 / $1,454.15 / $2,249.05	Facility		$357.54	$1,454.15	$2,249.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $362.79 / $1,824.89 / $2,943.38	Professional		$362.79	$1,824.89	$2,943.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $362.79 / $1,665.92 / $2,249.05	Facility		$362.79	$1,665.92	$2,249.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $333.34 / $1,450.90 / $2,249.05	Professional		$333.34	$1,450.90	$2,249.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $931.16 / $1,827.35 / $2,635.82	Professional		$931.16	$1,827.35	$2,635.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $305.60 / $359.50 / $1,796.90	Professional		$305.60	$359.50	$1,796.90