Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.47 / $569.79 / $852.94	Professional		$303.47	$569.79	$852.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.19 / $767.21 / $1,152.00	Professional		$371.19	$767.21	$1,152.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $536.27 / $978.20	Professional		$296.27	$536.27	$978.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $1,087.45 / $6,306.00	Facility		$618.21	$1,087.45	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $519.46 / $913.21 / $2,451.84	Professional		$519.46	$913.21	$2,451.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,093.57 / $1,908.09	Facility		$650.00	$1,093.57	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $618.21 / $860.62 / $1,309.08	Professional		$618.21	$860.62	$1,309.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.23 / $726.67 / $1,360.18	Professional		$491.23	$726.67	$1,360.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $620.40 / $729.80 / $1,066.59	Professional		$620.40	$729.80	$1,066.59