Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.43 / $622.49 / $2,371.13	Professional		$367.43	$622.49	$2,371.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.27 / $920.44 / $1,139.43	Professional		$861.27	$920.44	$1,139.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.67 / $603.37 / $1,012.07	Professional		$380.67	$603.37	$1,012.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,106.10 / $10,320.00	Facility		$630.00	$1,106.10	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.77 / $883.12 / $1,404.13	Professional		$455.77	$883.12	$1,404.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,180.08 / $5,499.27	Facility		$630.00	$1,180.08	$5,499.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $531.32 / $800.61 / $1,180.08	Professional		$531.32	$800.61	$1,180.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.86 / $877.58 / $1,236.40	Professional		$435.86	$877.58	$1,236.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $662.57 / $838.70 / $986.70	Professional		$662.57	$838.70	$986.70