Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.70 / $582.99 / $968.75	Professional		$305.70	$582.99	$968.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.95 / $915.44 / $1,946.78	Professional		$683.95	$915.44	$1,946.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.35 / $818.75 / $2,465.75	Professional		$305.35	$818.75	$2,465.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $597.53 / $1,035.49 / $4,379.93	Facility		$597.53	$1,035.49	$4,379.93
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $151.53 / $151.53 / $151.53	Facility	AS	$151.53	$151.53	$151.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $652.07 / $1,136.14 / $2,643.33	Professional		$652.07	$1,136.14	$2,643.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $743.51 / $1,346.28 / $1,776.52	Facility		$743.51	$1,346.28	$1,776.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $695.00 / $1,069.52 / $1,730.63	Professional		$695.00	$1,069.52	$1,730.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,854.53 / $7,407.10	Facility		$3,711.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $628.10 / $963.06 / $1,805.73	Professional		$628.10	$963.06	$1,805.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $1,031.19 / $1,535.70	Professional		$642.40	$1,031.19	$1,535.70