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 $469.92 / $602.40 / $2,152.06	Professional		$469.92	$602.40	$2,152.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.32 / $1,106.98 / $1,455.94	Professional		$515.32	$1,106.98	$1,455.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.66 / $649.89 / $1,112.64	Professional		$329.66	$649.89	$1,112.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.40 / $1,007.75 / $6,837.54	Facility		$602.40	$1,007.75	$6,837.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.83 / $930.11 / $2,667.44	Professional		$563.83	$930.11	$2,667.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $794.75 / $1,127.09 / $2,571.84	Facility		$794.75	$1,127.09	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $737.87 / $936.62 / $1,369.13	Professional		$737.87	$936.62	$1,369.13
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 $493.35 / $704.79 / $1,394.15	Professional		$493.35	$704.79	$1,394.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $700.80 / $824.50 / $1,148.40	Professional		$700.80	$824.50	$1,148.40