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 $179.23 / $306.14 / $1,126.23	Professional		$179.23	$306.14	$1,126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.61 / $485.24 / $542.85	Professional		$424.61	$485.24	$542.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $306.12 / $746.24	Professional		$195.87	$306.12	$746.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $517.38 / $6,608.00	Facility		$256.14	$517.38	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.72 / $473.30 / $777.79	Professional		$242.72	$473.30	$777.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $467.49 / $604.80	Facility		$313.39	$467.49	$604.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $467.49 / $637.15	Professional		$346.19	$467.49	$637.15
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 $224.92 / $449.20 / $647.37	Professional		$224.92	$449.20	$647.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $319.48 / $404.40 / $475.70	Professional		$319.48	$404.40	$475.70