Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.88 / $3,489.13 / $7,119.04	Facility		$926.88	$3,489.13	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $399.45 / $926.88	Professional		$200.62	$399.45	$926.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.31 / $866.32 / $1,314.73	Professional		$429.31	$866.32	$1,314.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $596.23 / $1,187.90	Professional		$211.34	$596.23	$1,187.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $378.24 / $716.91 / $1,970.00	Facility		$378.24	$716.91	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $493.57 / $950.93 / $3,243.82	Professional		$493.57	$950.93	$3,243.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $493.57 / $844.83 / $1,281.42	Facility		$493.57	$844.83	$1,281.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $429.31 / $742.83 / $1,287.64	Professional		$429.31	$742.83	$1,287.64
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 $512.25 / $840.29 / $1,575.54	Professional		$512.25	$840.29	$1,575.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.80 / $686.43 / $1,022.30	Professional		$426.80	$686.43	$1,022.30