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 $359.96 / $608.07 / $608.07	Professional		$359.96	$608.07	$608.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.76 / $1,026.25 / $4,984.71	Professional		$858.76	$1,026.25	$4,984.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.51 / $732.09 / $4,757.43	Professional		$218.51	$732.09	$4,757.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $608.07 / $2,337.00 / $7,305.00	Facility		$608.07	$2,337.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.83 / $691.97 / $4,984.71	Professional		$337.83	$691.97	$4,984.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $418.24 / $809.86 / $1,245.14	Facility		$418.24	$809.86	$1,245.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $424.41 / $858.76 / $5,341.40	Professional		$424.41	$858.76	$5,341.40
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 $316.72 / $612.32 / $873.61	Professional		$316.72	$612.32	$873.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,015.65 / $5,083.10 / $5,980.10	Professional		$4,015.65	$5,083.10	$5,980.10