Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.20 / $704.54 / $796.22	Professional		$375.20	$704.54	$796.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.27 / $933.36 / $1,314.73	Professional		$444.27	$933.36	$1,314.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $546.94 / $1,035.80	Professional		$329.62	$546.94	$1,035.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $683.37 / $1,129.96 / $4,663.00	Facility		$683.37	$1,129.96	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.39 / $946.96 / $3,022.72	Professional		$513.39	$946.96	$3,022.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $743.96 / $945.22 / $1,220.10	Facility		$743.96	$945.22	$1,220.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $689.57 / $946.19 / $1,240.42	Professional		$689.57	$946.19	$1,240.42
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 $467.37 / $687.63 / $1,289.31	Professional		$467.37	$687.63	$1,289.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $675.85 / $855.50 / $1,006.50	Professional		$675.85	$855.50	$1,006.50