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 $425.59 / $726.73 / $2,674.71	Professional		$425.59	$726.73	$2,674.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.16 / $1,149.55 / $1,289.85	Professional		$1,008.16	$1,149.55	$1,289.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $464.53 / $726.03 / $1,785.60	Professional		$464.53	$726.03	$1,785.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.69 / $1,228.17 / $7,305.00	Facility		$627.69	$1,228.17	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $593.28 / $1,121.67 / $1,905.92	Professional		$593.28	$1,121.67	$1,905.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $751.18 / $1,105.06 / $1,430.77	Facility		$751.18	$1,105.06	$1,430.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $818.35 / $1,046.57 / $1,430.77	Professional		$818.35	$1,046.57	$1,430.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.20 / $1,064.56 / $1,534.19	Professional		$556.20	$1,064.56	$1,534.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.01 / $959.50 / $1,128.80	Professional		$758.01	$959.50	$1,128.80