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 / $1,720.32	Professional		$464.53	$726.03	$1,720.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $606.01 / $1,228.17 / $7,305.00	Facility		$606.01	$1,228.17	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $573.77 / $1,121.67 / $1,840.08	Professional		$573.77	$1,121.67	$1,840.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $741.21 / $1,100.60 / $1,430.77	Facility		$741.21	$1,100.60	$1,430.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $815.06 / $1,100.60 / $1,505.83	Professional		$815.06	$1,100.60	$1,505.83
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 $556.20 / $915.62 / $1,508.83	Professional		$556.20	$915.62	$1,508.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.01 / $959.50 / $1,128.80	Professional		$758.01	$959.50	$1,128.80