Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.38 / $573.34 / $666.61	Professional		$364.38	$573.34	$666.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.55 / $929.47 / $1,161.83	Professional		$721.55	$929.47	$1,161.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.67 / $578.12 / $1,357.22	Professional		$376.67	$578.12	$1,357.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.34 / $968.94 / $5,301.00	Facility		$478.34	$968.94	$5,301.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.89 / $780.72 / $3,232.86	Professional		$416.89	$780.72	$3,232.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $754.56 / $1,066.27 / $1,750.65	Facility		$754.56	$1,066.27	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $551.95 / $906.54 / $1,128.89	Professional		$551.95	$906.54	$1,128.89
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 $397.71 / $606.38 / $1,136.97	Professional		$397.71	$606.38	$1,136.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $633.74 / $802.20 / $943.80	Professional		$633.74	$802.20	$943.80