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 $383.26 / $599.66 / $700.79	Professional		$383.26	$599.66	$700.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.00 / $948.31 / $1,171.57	Professional		$817.00	$948.31	$1,171.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $641.00 / $1,308.85	Professional		$398.65	$641.00	$1,308.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.66 / $1,039.07 / $5,015.03	Facility		$599.66	$1,039.07	$5,015.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $449.32 / $837.94 / $3,134.72	Professional		$449.32	$837.94	$3,134.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $817.00 / $1,144.38 / $1,750.65	Facility		$817.00	$1,144.38	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $636.05 / $948.31 / $1,257.43	Professional		$636.05	$948.31	$1,257.43
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 $426.85 / $656.32 / $1,210.20	Professional		$426.85	$656.32	$1,210.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.60 / $836.20 / $983.80	Professional		$660.60	$836.20	$983.80