Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.39 / $3,419.00 / $7,119.04	Facility		$1,332.39	$3,419.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $498.38 / $1,332.39	Professional		$182.21	$498.38	$1,332.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.22 / $795.09 / $964.13	Professional		$683.22	$795.09	$964.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $317.85 / $547.91 / $1,970.62	Professional		$317.85	$547.91	$1,970.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.67 / $958.58 / $49,284.26	Facility		$508.67	$958.58	$49,284.26
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $14,129.69 / $14,129.69 / $14,129.69	Facility	AS	$14,129.69	$14,129.69	$14,129.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.25 / $746.00 / $13,506.61	Professional		$374.25	$746.00	$13,506.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $746.00 / $964.13 / $49,284.26	Facility		$746.00	$964.13	$49,284.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $547.42 / $811.89 / $1,116.86	Professional		$547.42	$811.89	$1,116.86
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 $355.86 / $542.26 / $1,103.25	Professional		$355.86	$542.26	$1,103.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $521.16 / $659.70 / $776.10	Professional		$521.16	$659.70	$776.10