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 $327.44 / $615.09 / $922.45	Professional		$327.44	$615.09	$922.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.73 / $917.29 / $1,512.43	Professional		$413.73	$917.29	$1,512.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.60 / $573.04 / $1,210.15	Professional		$316.60	$573.04	$1,210.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.28 / $1,146.33 / $6,306.00	Facility		$587.28	$1,146.33	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.69 / $930.75 / $2,629.68	Professional		$578.69	$930.75	$2,629.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $1,179.41 / $1,908.09	Facility		$796.00	$1,179.41	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $687.34 / $982.15 / $1,412.36	Professional		$687.34	$982.15	$1,412.36
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 $539.64 / $784.93 / $1,463.08	Professional		$539.64	$784.93	$1,463.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.10 / $776.60 / $1,152.59	Professional		$660.10	$776.60	$1,152.59