Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,912.34 / $7,119.04	Facility		$1,041.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.81 / $411.20 / $811.02	Professional		$226.81	$411.20	$811.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.26 / $689.50 / $1,247.53	Professional		$501.26	$689.50	$1,247.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $602.16 / $1,378.08	Professional		$233.70	$602.16	$1,378.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.64 / $720.58 / $1,996.86	Facility		$392.64	$720.58	$1,996.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $459.04 / $859.66 / $3,134.32	Professional		$459.04	$859.66	$3,134.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $534.94 / $821.18 / $1,123.16	Facility		$534.94	$821.18	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $511.36 / $810.22 / $1,136.84	Professional		$511.36	$810.22	$1,136.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.59 / $667.70 / $1,251.93	Professional		$429.59	$667.70	$1,251.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $471.70 / $656.02 / $977.00	Professional		$471.70	$656.02	$977.00