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 $445.82 / $837.26 / $923.18	Professional		$445.82	$837.26	$923.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.52 / $1,191.21 / $1,522.17	Professional		$543.52	$1,191.21	$1,522.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $636.55 / $1,191.75	Professional		$382.50	$636.55	$1,191.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $608.91 / $1,228.85 / $3,258.00	Facility		$608.91	$1,228.85	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $597.04 / $1,118.39 / $3,588.64	Professional		$597.04	$1,118.39	$3,588.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $485.96 / $1,002.12 / $1,405.16	Facility		$485.96	$1,002.12	$1,405.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $796.00 / $1,123.82 / $1,462.76	Professional		$796.00	$1,123.82	$1,462.76
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 $552.59 / $806.21 / $1,496.19	Professional		$552.59	$806.21	$1,496.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $784.47 / $993.00 / $1,168.20	Professional		$784.47	$993.00	$1,168.20