Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.07 / $4,964.00 / $12,684.87	Facility		$249.07	$4,964.00	$12,684.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $312.39 / $7,376.18	Professional		$84.81	$312.39	$7,376.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $8,559.61 / $11,715.66	Professional		$183.87	$8,559.61	$11,715.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $4,522.91 / $6,297.28	Professional		$124.31	$4,522.91	$6,297.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.88 / $10,281.43 / $17,448.71	Facility		$201.88	$10,281.43	$17,448.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $10,094.48 / $17,864.23	Professional		$232.99	$10,094.48	$17,864.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.83 / $10,541.84 / $14,250.74	Facility		$199.83	$10,541.84	$14,250.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.76 / $8,559.61 / $13,314.95	Professional		$187.76	$8,559.61	$13,314.95
United Facility/Professional Facility Modifier Low / Median / High Price $10,352.00 / $15,202.00 / $21,254.02	Facility		$10,352.00	$15,202.00	$21,254.02
United Facility/Professional Professional Modifier Low / Median / High Price $5,380.57 / $10,054.60 / $15,332.65	Professional		$5,380.57	$10,054.60	$15,332.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $202.50 / $9,232.40	Professional		$172.20	$202.50	$9,232.40