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 $585.40 / $995.83 / $1,129.42	Professional		$585.40	$995.83	$1,129.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.00 / $1,622.09 / $2,027.61	Professional		$1,254.00	$1,622.09	$2,027.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $655.57 / $1,043.22 / $1,882.89	Professional		$655.57	$1,043.22	$1,882.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $978.07 / $1,554.83 / $8,604.00	Facility		$978.07	$1,554.83	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $722.54 / $1,362.20 / $5,300.32	Professional		$722.54	$1,362.20	$5,300.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,254.00 / $1,539.76 / $2,013.90	Facility		$1,254.00	$1,539.76	$2,013.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,009.32 / $1,439.55 / $2,013.90	Professional		$1,009.32	$1,439.55	$2,013.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $689.69 / $1,182.02 / $2,138.23	Professional		$689.69	$1,182.02	$2,138.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,105.21 / $1,399.00 / $1,645.90	Professional		$1,105.21	$1,399.00	$1,645.90