Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $7,119.04 / $12,885.00	Facility		$4,014.00	$7,119.04	$12,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,014.00 / $4,014.00 / $7,592.00	Professional		$4,014.00	$4,014.00	$7,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.30 / $744.14 / $744.14	Professional		$595.30	$744.14	$744.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $6,543.34 / $7,346.97	Professional		$150.00	$6,543.34	$7,346.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.64 / $2,454.83 / $11,495.00	Facility		$367.64	$2,454.83	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.06 / $633.90 / $1,676.82	Professional		$326.06	$633.90	$1,676.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $443.71 / $567.03 / $719.95	Facility		$443.71	$567.03	$719.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $443.71 / $612.28 / $1,000.25	Professional		$443.71	$612.28	$1,000.25
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $312.48 / $589.63 / $771.69	Professional		$312.48	$589.63	$771.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,433.30 / $1,814.30 / $2,134.40	Professional		$1,433.30	$1,814.30	$2,134.40