Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.34 / $987.99 / $1,062.61	Professional		$610.34	$987.99	$1,062.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.00 / $1,537.16 / $1,921.46	Professional		$1,238.00	$1,537.16	$1,921.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $623.82 / $993.47 / $2,261.59	Professional		$623.82	$993.47	$2,261.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,011.83 / $1,660.31 / $11,139.12	Facility		$1,011.83	$1,660.31	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.06 / $1,343.58 / $5,539.88	Professional		$684.06	$1,343.58	$5,539.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,243.64 / $1,660.31 / $6,616.19	Facility		$1,243.64	$1,660.31	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $986.77 / $1,499.08 / $1,951.25	Professional		$986.77	$1,499.08	$1,951.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.96 / $994.99 / $1,853.17	Professional		$652.96	$994.99	$1,853.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,049.99 / $1,329.10 / $1,563.60	Professional		$1,049.99	$1,329.10	$1,563.60