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 $216.40 / $504.68 / $504.68	Professional		$216.40	$504.68	$504.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.79 / $801.16 / $3,454.64	Professional		$663.79	$801.16	$3,454.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.51 / $492.06 / $1,692.44	Professional		$218.51	$492.06	$1,692.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $504.68 / $2,781.90 / $7,123.00	Facility		$504.68	$2,781.90	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.72 / $683.90 / $3,454.64	Professional		$316.72	$683.90	$3,454.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $418.24 / $658.28 / $1,033.45	Facility		$418.24	$658.28	$1,033.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $424.41 / $686.23 / $3,701.85	Professional		$424.41	$686.23	$3,701.85
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 $303.52 / $612.32 / $859.17	Professional		$303.52	$612.32	$859.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,780.09 / $3,519.10 / $4,140.10	Professional		$2,780.09	$3,519.10	$4,140.10