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 $365.75 / $624.65 / $2,298.57	Professional		$365.75	$624.65	$2,298.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.14 / $986.84 / $1,108.46	Professional		$867.14	$986.84	$1,108.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $399.70 / $626.07 / $1,431.04	Professional		$399.70	$626.07	$1,431.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $539.92 / $1,055.66 / $6,608.00	Facility		$539.92	$1,055.66	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.73 / $963.72 / $1,639.43	Professional		$509.73	$963.72	$1,639.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $665.22 / $952.05 / $1,229.33	Facility		$665.22	$952.05	$1,229.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $705.04 / $901.73 / $1,229.33	Professional		$705.04	$901.73	$1,229.33
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 $477.88 / $924.91 / $1,318.14	Professional		$477.88	$924.91	$1,318.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $653.09 / $826.70 / $972.60	Professional		$653.09	$826.70	$972.60