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 $492.25 / $866.51 / $1,016.55	Professional		$492.25	$866.51	$1,016.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.94 / $1,213.83 / $1,517.30	Professional		$542.94	$1,213.83	$1,517.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $635.87 / $1,710.76	Professional		$382.01	$635.87	$1,710.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.96 / $1,365.84 / $3,258.00	Facility		$794.96	$1,365.84	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.29 / $1,295.97 / $3,914.76	Professional		$608.29	$1,295.97	$3,914.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $472.35 / $1,143.35 / $1,533.04	Facility		$472.35	$1,143.35	$1,533.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $992.03 / $1,242.33 / $1,615.00	Professional		$992.03	$1,242.33	$1,615.00
United Facility/Professional Facility Modifier Low / Median / High Price $720.32 / $1,611.00 / $4,745.72	Facility		$720.32	$1,611.00	$4,745.72
United Facility/Professional Professional Modifier Low / Median / High Price $582.96 / $947.94 / $1,648.37	Professional		$582.96	$947.94	$1,648.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $782.42 / $1,020.90 / $1,165.20	Professional		$782.42	$1,020.90	$1,165.20