Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.67 / $3,489.13 / $7,119.04	Facility		$1,100.67	$3,489.13	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $595.59 / $1,100.67	Professional		$357.01	$595.59	$1,100.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.00 / $948.94 / $1,186.18	Professional		$735.00	$948.94	$1,186.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $404.12 / $627.85 / $1,642.95	Professional		$404.12	$627.85	$1,642.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $527.86 / $968.38 / $30,326.01	Facility		$527.86	$968.38	$30,326.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $422.39 / $822.16 / $8,570.73	Professional		$422.39	$822.16	$8,570.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $768.36 / $1,039.21 / $27,966.89	Facility		$768.36	$1,039.21	$27,966.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $609.22 / $842.32 / $1,212.28	Professional		$609.22	$842.32	$1,212.28
United Facility/Professional Facility Modifier Low / Median / High Price $12,855.00 / $16,742.00 / $40,166.00	Facility		$12,855.00	$16,742.00	$40,166.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.20 / $620.50 / $1,163.43	Professional		$407.20	$620.50	$1,163.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $682.40 / $863.80 / $1,016.20	Professional		$682.40	$863.80	$1,016.20