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 $492.14 / $624.08 / $2,234.77	Professional		$492.14	$624.08	$2,234.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.40 / $958.58 / $1,530.93	Professional		$526.40	$958.58	$1,530.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.19 / $652.92 / $1,083.19	Professional		$338.19	$652.92	$1,083.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $624.08 / $1,018.78 / $6,837.54	Facility		$624.08	$1,018.78	$6,837.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.99 / $958.34 / $3,019.00	Professional		$580.99	$958.34	$3,019.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $820.24 / $1,167.26 / $2,571.84	Facility		$820.24	$1,167.26	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.74 / $990.30 / $1,426.78	Professional		$691.74	$990.30	$1,426.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.23 / $729.86 / $1,363.36	Professional		$535.23	$729.86	$1,363.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $723.30 / $850.90 / $1,198.20	Professional		$723.30	$850.90	$1,198.20