Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $350.18 / $653.54	Professional		$100.30	$350.18	$653.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.08 / $857.79 / $1,072.24	Professional		$176.08	$857.79	$1,072.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $478.60 / $1,459.60	Professional		$120.04	$478.60	$1,459.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.87 / $847.92 / $3,876.00	Facility		$192.87	$847.92	$3,876.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $899.62 / $1,459.54	Professional		$217.30	$899.62	$1,459.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $211.22 / $604.21 / $1,031.74	Facility		$211.22	$604.21	$1,031.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $746.82 / $1,197.18	Professional		$174.67	$746.82	$1,197.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.51 / $876.30 / $1,326.27	Professional		$473.51	$876.30	$1,326.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.10 / $188.40 / $858.80	Professional		$160.10	$188.40	$858.80