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 $88.91 / $2,865.82 / $2,865.82	Professional		$88.91	$2,865.82	$2,865.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $2,288.87 / $4,168.59	Professional		$103.13	$2,288.87	$4,168.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $3,057.91 / $4,651.10	Professional		$98.63	$3,057.91	$4,651.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $2,288.87 / $7,117.90	Facility		$109.99	$2,288.87	$7,117.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.42 / $2,822.82 / $6,432.29	Professional		$504.42	$2,822.82	$6,432.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $1,716.91 / $5,065.85	Facility		$125.07	$1,716.91	$5,065.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $2,288.87 / $5,065.85	Professional		$125.07	$2,288.87	$5,065.85
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 $2,157.17 / $3,001.30 / $5,374.04	Professional		$2,157.17	$3,001.30	$5,374.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $133.00 / $8,037.60	Professional		$113.00	$133.00	$8,037.60