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 $401.62 / $738.74 / $832.74	Professional		$401.62	$738.74	$832.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.46 / $1,032.01 / $1,372.19	Professional		$438.46	$1,032.01	$1,372.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.31 / $572.20 / $1,080.16	Professional		$344.31	$572.20	$1,080.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $551.50 / $1,110.95 / $3,482.00	Facility		$551.50	$1,110.95	$3,482.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.69 / $998.82 / $3,165.04	Professional		$537.69	$998.82	$3,165.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $446.72 / $911.24 / $1,268.24	Facility		$446.72	$911.24	$1,268.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $717.00 / $990.72 / $1,302.25	Professional		$717.00	$990.72	$1,302.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.07 / $722.38 / $1,346.21	Professional		$498.07	$722.38	$1,346.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $706.26 / $894.00 / $1,051.70	Professional		$706.26	$894.00	$1,051.70