Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.66 / $569.85 / $569.85	Professional		$565.66	$569.85	$569.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,676.23 / $2,756.52 / $2,836.80	Facility		$2,676.23	$2,756.52	$2,836.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,955.22 / $5,821.88 / $7,277.34	Professional		$1,955.22	$5,821.88	$7,277.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $534.50 / $590.26 / $879.50	Professional		$534.50	$590.26	$879.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $694.37 / $2,396.48 / $7,305.00	Facility		$694.37	$2,396.48	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,073.36 / $6,510.22 / $17,660.59	Professional		$1,073.36	$6,510.22	$17,660.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,073.36 / $2,622.27 / $10,867.67	Facility		$1,073.36	$2,622.27	$10,867.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $694.37 / $2,622.27 / $10,867.67	Professional		$694.37	$2,622.27	$10,867.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.78 / $8,680.29 / $17,660.59	Professional		$1,214.78	$8,680.29	$17,660.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $786.29 / $995.30 / $1,170.90	Professional		$786.29	$995.30	$1,170.90