Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.13 / $2,546.00 / $6,438.16	Facility		$421.13	$2,546.00	$6,438.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $528.54 / $912.71	Professional		$118.95	$528.54	$912.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.08 / $387.60 / $1,640.01	Professional		$310.08	$387.60	$1,640.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.47 / $742.91 / $1,364.49	Professional		$185.47	$742.91	$1,364.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $226.20 / $1,139.60 / $1,640.16	Facility		$226.20	$1,139.60	$1,640.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $387.95 / $1,555.63 / $2,518.14	Professional		$387.95	$1,555.63	$2,518.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.46 / $1,087.72 / $1,640.16	Facility		$341.46	$1,087.72	$1,640.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $1,226.33 / $1,800.48	Professional		$312.95	$1,226.33	$1,800.48
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 $743.43 / $1,518.90 / $2,104.42	Professional		$743.43	$1,518.90	$2,104.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $286.89 / $337.60 / $1,322.70	Professional		$286.89	$337.60	$1,322.70