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 $280.45 / $401.74 / $1,137.58	Professional		$280.45	$401.74	$1,137.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.05 / $635.25 / $713.39	Professional		$557.05	$635.25	$713.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.62 / $400.49 / $1,030.40	Professional		$256.62	$400.49	$1,030.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.94 / $678.94 / $6,608.00	Facility		$356.94	$678.94	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.74 / $619.64 / $1,083.82	Professional		$327.74	$619.64	$1,083.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $411.84 / $613.49 / $790.65	Facility		$411.84	$613.49	$790.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $454.32 / $613.49 / $790.65	Professional		$454.32	$613.49	$790.65
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 $307.26 / $540.11 / $847.53	Professional		$307.26	$540.11	$847.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $418.54 / $529.79 / $623.29	Professional		$418.54	$529.79	$623.29