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 $336.67 / $464.81 / $678.25	Professional		$336.67	$464.81	$678.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.75 / $810.26 / $1,114.10	Professional		$394.75	$810.26	$1,114.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $464.85 / $877.10	Professional		$279.68	$464.85	$877.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.55 / $935.57 / $3,482.00	Facility		$512.55	$935.57	$3,482.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $439.41 / $826.44 / $2,633.76	Professional		$439.41	$826.44	$2,633.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $474.18 / $764.19 / $1,032.84	Facility		$474.18	$764.19	$1,032.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $585.54 / $830.45 / $1,080.91	Professional		$585.54	$830.45	$1,080.91
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 $404.74 / $594.32 / $1,102.24	Professional		$404.74	$594.32	$1,102.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $573.22 / $725.60 / $853.70	Professional		$573.22	$725.60	$853.70