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 $421.31 / $649.40 / $758.99	Professional		$421.31	$649.40	$758.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.34 / $1,038.54 / $1,298.18	Professional		$843.34	$1,038.54	$1,298.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $412.14 / $643.97 / $1,448.59	Professional		$412.14	$643.97	$1,448.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $649.40 / $1,144.58 / $5,015.03	Facility		$649.40	$1,144.58	$5,015.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.45 / $911.08 / $3,951.10	Professional		$480.45	$911.08	$3,951.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $843.34 / $1,184.76 / $1,750.65	Facility		$843.34	$1,184.76	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $669.51 / $990.54 / $1,383.83	Professional		$669.51	$990.54	$1,383.83
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 $445.70 / $698.83 / $1,310.31	Professional		$445.70	$698.83	$1,310.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $689.99 / $873.40 / $1,027.59	Professional		$689.99	$873.40	$1,027.59