Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.68 / $612.04 / $2,253.00	Professional		$357.68	$612.04	$2,253.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.66 / $970.65 / $1,091.70	Professional		$847.66	$970.65	$1,091.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.92 / $640.02 / $1,223.57	Professional		$379.92	$640.02	$1,223.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $629.15 / $970.65 / $6,608.00	Facility		$629.15	$970.65	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.65 / $930.09 / $1,996.93	Professional		$468.65	$930.09	$1,996.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $664.39 / $887.18 / $1,204.58	Facility		$664.39	$887.18	$1,204.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $664.39 / $887.18 / $1,204.58	Professional		$664.39	$887.18	$1,204.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.12 / $896.69 / $1,292.69	Professional		$449.12	$896.69	$1,292.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $642.59 / $813.40 / $956.90	Professional		$642.59	$813.40	$956.90