Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.60 / $4,604.83 / $8,042.03	Facility		$1,513.60	$4,604.83	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.61 / $581.70 / $2,350.66	Professional		$340.61	$581.70	$2,350.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.83 / $926.57 / $1,038.94	Professional		$818.83	$926.57	$1,038.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $361.77 / $613.41 / $1,131.75	Professional		$361.77	$613.41	$1,131.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $1,242.41 / $9,495.24	Facility		$710.00	$1,242.41	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.79 / $933.22 / $1,582.12	Professional		$472.79	$933.22	$1,582.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $1,140.19 / $3,018.60	Facility		$710.00	$1,140.19	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $874.75 / $1,140.19	Professional		$650.00	$874.75	$1,140.19
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 $433.39 / $876.05 / $1,282.56	Professional		$433.39	$876.05	$1,282.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $615.65 / $779.30 / $916.90	Professional		$615.65	$779.30	$916.90