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 $348.03 / $597.53 / $2,146.78	Professional		$348.03	$597.53	$2,146.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.61 / $1,024.52 / $1,100.14	Professional		$819.61	$1,024.52	$1,100.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.80 / $626.75 / $802.58	Professional		$375.80	$626.75	$802.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $773.23 / $1,066.27 / $6,608.00	Facility		$773.23	$1,066.27	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $925.60 / $1,625.54	Professional		$482.00	$925.60	$1,625.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $615.20 / $908.84 / $1,170.45	Facility		$615.20	$908.84	$1,170.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $615.20 / $871.18 / $1,170.45	Professional		$615.20	$871.18	$1,170.45
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 $439.85 / $764.96 / $1,245.08	Professional		$439.85	$764.96	$1,245.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.97 / $798.70 / $939.60	Professional		$630.97	$798.70	$939.60