Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.84 / $325.33 / $1,215.32	Professional		$193.84	$325.33	$1,215.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.40 / $534.35 / $555.41	Professional		$432.40	$534.35	$555.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.07 / $317.66 / $628.29	Professional		$178.07	$317.66	$628.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $405.77 / $863.02 / $9,874.90	Facility		$405.77	$863.02	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.28 / $494.65 / $853.42	Professional		$245.28	$494.65	$853.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $644.48 / $3,818.30	Facility		$384.00	$644.48	$3,818.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.63 / $455.00 / $634.29	Professional		$328.63	$455.00	$634.29
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 $235.06 / $467.34 / $665.38	Professional		$235.06	$467.34	$665.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $381.00 / $448.20	Professional		$300.99	$381.00	$448.20