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 $396.91 / $678.41 / $2,491.25	Professional		$396.91	$678.41	$2,491.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.84 / $1,184.38 / $1,210.59	Professional		$952.84	$1,184.38	$1,210.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $715.49 / $1,391.73	Professional		$422.89	$715.49	$1,391.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $898.00 / $1,318.34 / $9,495.24	Facility		$898.00	$1,318.34	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.24 / $1,021.70 / $1,820.32	Professional		$548.24	$1,021.70	$1,820.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $898.00 / $1,330.61 / $3,018.60	Facility		$898.00	$1,330.61	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $696.18 / $1,004.27 / $1,330.61	Professional		$696.18	$1,004.27	$1,330.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,055.75 / $7,059.62 / $10,320.00	Facility		$4,055.75	$7,059.62	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.56 / $882.32 / $1,417.71	Professional		$492.56	$882.32	$1,417.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $718.51 / $909.50 / $1,070.00	Professional		$718.51	$909.50	$1,070.00