Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $2,912.34 / $7,119.04	Facility		$744.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $399.40 / $657.90	Professional		$208.36	$399.40	$657.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.37 / $774.99 / $1,366.35	Professional		$440.37	$774.99	$1,366.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.99 / $650.96 / $966.43	Professional		$233.99	$650.96	$966.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.78 / $709.49 / $1,970.00	Facility		$363.78	$709.49	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $440.37 / $819.09 / $3,221.86	Professional		$440.37	$819.09	$3,221.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $453.56 / $850.97 / $1,161.84	Facility		$453.56	$850.97	$1,161.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $440.37 / $761.07 / $1,178.17	Professional		$440.37	$761.07	$1,178.17
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 $437.72 / $779.57 / $1,357.07	Professional		$437.72	$779.57	$1,357.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.80 / $640.00 / $1,084.90	Professional		$467.80	$640.00	$1,084.90