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 $403.22 / $688.46 / $2,534.46	Professional		$403.22	$688.46	$2,534.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.18 / $1,088.83 / $1,221.41	Professional		$955.18	$1,088.83	$1,221.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $440.42 / $688.88 / $1,745.92	Professional		$440.42	$688.88	$1,745.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $613.33 / $1,163.50 / $7,305.00	Facility		$613.33	$1,163.50	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.16 / $1,062.83 / $1,862.28	Professional		$562.16	$1,062.83	$1,862.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $734.46 / $1,051.49 / $1,356.00	Facility		$734.46	$1,051.49	$1,356.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $778.68 / $992.72 / $1,356.00	Professional		$778.68	$992.72	$1,356.00
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 $505.07 / $1,008.70 / $1,453.72	Professional		$505.07	$1,008.70	$1,453.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $718.98 / $910.10 / $1,070.70	Professional		$718.98	$910.10	$1,070.70