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 $502.73 / $857.51 / $857.51	Professional		$502.73	$857.51	$857.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.48 / $1,361.50 / $1,501.71	Professional		$1,197.48	$1,361.50	$1,501.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.45 / $854.39 / $2,056.96	Professional		$549.45	$854.39	$2,056.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $686.54 / $1,361.50 / $7,176.40	Facility		$686.54	$1,361.50	$7,176.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.80 / $1,332.62 / $2,063.17	Professional		$660.80	$1,332.62	$2,063.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $1,316.57 / $1,759.28	Facility		$904.00	$1,316.57	$1,759.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $904.00 / $1,361.50 / $1,759.28	Professional		$904.00	$1,361.50	$1,759.28
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 $633.27 / $1,101.33 / $1,822.72	Professional		$633.27	$1,101.33	$1,822.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $896.10 / $1,134.30 / $1,334.50	Professional		$896.10	$1,134.30	$1,334.50