Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $620.79 / $625.54	Professional		$382.00	$620.79	$625.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.42 / $1,004.26 / $1,255.32	Professional		$730.42	$1,004.26	$1,255.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $422.36 / $609.20 / $1,242.19	Professional		$422.36	$609.20	$1,242.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.50 / $1,005.85 / $5,015.03	Facility		$533.50	$1,005.85	$5,015.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.48 / $829.58 / $3,302.72	Professional		$437.48	$829.58	$3,302.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $769.33 / $1,092.35 / $1,750.65	Facility		$769.33	$1,092.35	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $566.51 / $910.66 / $1,238.23	Professional		$566.51	$910.66	$1,238.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.85 / $644.34 / $1,208.13	Professional		$422.85	$644.34	$1,208.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $715.90 / $906.20 / $1,066.09	Professional		$715.90	$906.20	$1,066.09