Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $473.97 / $1,525.00	Professional		$324.70	$473.97	$1,525.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.05 / $879.59 / $1,081.66	Professional		$367.05	$879.59	$1,081.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $308.48 / $519.83 / $757.14	Professional		$308.48	$519.83	$757.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $509.67 / $944.69 / $6,226.87	Facility		$509.67	$944.69	$6,226.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $831.34 / $2,544.56	Professional		$451.00	$831.34	$2,544.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $450.99 / $746.92 / $1,081.66	Facility		$450.99	$746.92	$1,081.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $819.34 / $1,142.95	Professional		$590.00	$819.34	$1,142.95
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 $414.19 / $627.47 / $1,176.51	Professional		$414.19	$627.47	$1,176.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $643.70 / $757.30 / $962.70	Professional		$643.70	$757.30	$962.70