Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $656.25 / $656.25	Professional		$656.25	$656.25	$656.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.06 / $1,280.06 / $1,600.08	Professional		$1,280.06	$1,280.06	$1,600.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $543.96 / $849.69 / $3,764.93	Professional		$543.96	$849.69	$3,764.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $885.94 / $4,651.70 / $10,320.00	Facility		$885.94	$4,651.70	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,038.22 / $1,077.11 / $1,209.40	Professional		$1,038.22	$1,077.11	$1,209.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,209.40 / $3,151.30 / $3,929.20	Facility		$1,209.40	$3,151.30	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,038.22 / $1,154.21 / $1,209.40	Professional		$1,038.22	$1,154.21	$1,209.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,002.00 / $3,800.00 / $3,800.00	Professional		$3,002.00	$3,800.00	$3,800.00