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 $381.38 / $716.07 / $2,549.11	Professional		$381.38	$716.07	$2,549.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.57 / $946.61 / $1,183.26	Professional		$500.57	$946.61	$1,183.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $368.21 / $521.74 / $1,226.13	Professional		$368.21	$521.74	$1,226.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $597.99 / $1,151.72 / $7,104.12	Facility		$597.99	$1,151.72	$7,104.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.33 / $821.27 / $1,448.24	Professional		$451.33	$821.27	$1,448.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $770.91 / $1,245.14 / $2,052.00	Facility		$770.91	$1,245.14	$2,052.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.90 / $876.39 / $1,245.14	Professional		$556.90	$876.39	$1,245.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,854.53 / $7,407.10	Facility		$3,711.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $428.86 / $627.94 / $1,167.31	Professional		$428.86	$627.94	$1,167.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $610.12 / $845.00 / $908.60	Professional		$610.12	$845.00	$908.60