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 $53.02 / $294.02 / $2,878.48	Professional		$53.02	$294.02	$2,878.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $3,520.88 / $4,401.09	Professional		$61.50	$3,520.88	$4,401.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $3,224.72 / $4,903.85	Professional		$59.31	$3,224.72	$4,903.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.02 / $2,422.00 / $7,290.66	Facility		$53.02	$2,422.00	$7,290.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $2,806.63 / $6,403.03	Professional		$428.00	$2,806.63	$6,403.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.39 / $1,716.91 / $5,088.21	Facility		$76.39	$1,716.91	$5,088.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $2,422.00 / $5,751.01	Professional		$76.39	$2,422.00	$5,751.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,145.62 / $2,900.66 / $5,597.28	Professional		$2,145.62	$2,900.66	$5,597.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $80.00 / $8,554.90	Professional		$68.00	$80.00	$8,554.90