Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.05 / $382.96 / $915.16	Professional		$186.05	$382.96	$915.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.74 / $759.23 / $1,575.70	Professional		$409.74	$759.23	$1,575.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.37 / $642.70 / $988.44	Professional		$193.37	$642.70	$988.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.42 / $699.00 / $3,825.00	Facility		$358.42	$699.00	$3,825.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.94 / $861.44 / $4,430.00	Professional		$457.94	$861.44	$4,430.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $409.74 / $832.80 / $1,392.10	Facility		$409.74	$832.80	$1,392.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $409.74 / $716.63 / $1,392.10	Professional		$409.74	$716.63	$1,392.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.13 / $713.34 / $1,451.34	Professional		$468.13	$713.34	$1,451.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $406.20 / $477.90 / $1,254.80	Professional		$406.20	$477.90	$1,254.80