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 $488.82 / $775.64 / $1,125.63	Professional		$488.82	$775.64	$1,125.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.59 / $1,444.32 / $1,986.71	Professional		$1,070.59	$1,444.32	$1,986.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $491.41 / $923.39 / $1,430.17	Professional		$491.41	$923.39	$1,430.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $520.86 / $1,259.70 / $1,937.33	Facility		$520.86	$1,259.70	$1,937.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $773.16 / $1,427.62 / $5,095.68	Professional		$773.16	$1,427.62	$5,095.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.07 / $1,276.19 / $1,780.72	Facility		$209.07	$1,276.19	$1,780.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,070.59 / $1,427.62 / $1,808.69	Professional		$1,070.59	$1,427.62	$1,808.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.00 / $1,135.22 / $2,188.57	Professional		$704.00	$1,135.22	$2,188.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $944.00 / $1,110.59 / $1,566.60	Professional		$944.00	$1,110.59	$1,566.60