Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,912.34 / $7,119.04	Facility		$1,300.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $634.98 / $1,158.59	Professional		$316.83	$634.98	$1,158.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.09 / $1,120.93 / $2,165.67	Professional		$756.09	$1,120.93	$2,165.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.95 / $981.37 / $1,957.52	Professional		$393.95	$981.37	$1,957.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $538.77 / $1,064.30 / $4,379.93	Facility		$538.77	$1,064.30	$4,379.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $641.98 / $1,160.47 / $4,073.18	Professional		$641.98	$1,160.47	$4,073.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $765.53 / $1,387.40 / $1,885.32	Facility		$765.53	$1,387.40	$1,885.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $705.51 / $1,076.63 / $2,005.37	Professional		$705.51	$1,076.63	$2,005.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.79 / $933.79 / $1,750.86	Professional		$612.79	$933.79	$1,750.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $834.30 / $1,280.00 / $2,024.90	Professional		$834.30	$1,280.00	$2,024.90