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 $789.78 / $1,004.60 / $4,181.76	Professional		$789.78	$1,004.60	$4,181.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.59 / $1,853.71 / $2,459.03	Professional		$929.59	$1,853.71	$2,459.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $605.40 / $1,094.05 / $1,499.65	Professional		$605.40	$1,094.05	$1,499.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $934.18 / $1,643.61 / $6,965.03	Facility		$934.18	$1,643.61	$6,965.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $924.45 / $1,680.82 / $5,061.00	Professional		$924.45	$1,680.82	$5,061.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $825.43 / $1,588.12 / $2,100.94	Facility		$825.43	$1,588.12	$2,100.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,192.98 / $1,685.55 / $2,307.73	Professional		$1,192.98	$1,685.55	$2,307.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $882.43 / $1,235.93 / $2,227.64	Professional		$882.43	$1,235.93	$2,227.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,190.50 / $1,400.60 / $1,776.50	Professional		$1,190.50	$1,400.60	$1,776.50