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 $412.31 / $703.48 / $2,593.04	Professional		$412.31	$703.48	$2,593.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.91 / $1,236.83 / $1,287.49	Professional		$994.91	$1,236.83	$1,287.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.59 / $794.78 / $1,397.42	Professional		$436.59	$794.78	$1,397.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $865.51 / $1,236.83 / $6,608.00	Facility		$865.51	$1,236.83	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $559.60 / $1,066.18 / $1,879.35	Professional		$559.60	$1,066.18	$1,879.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $747.26 / $1,047.65 / $1,370.25	Facility		$747.26	$1,047.65	$1,370.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $747.26 / $1,031.00 / $1,370.25	Professional		$747.26	$1,031.00	$1,370.25
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 $524.83 / $1,012.46 / $1,458.29	Professional		$524.83	$1,012.46	$1,458.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $744.81 / $942.80 / $1,109.20	Professional		$744.81	$942.80	$1,109.20