Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.75 / $1,684.72 / $2,799.33	Professional		$558.75	$1,684.72	$2,799.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.22 / $3,750.35 / $5,047.59	Professional		$782.22	$3,750.35	$5,047.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $462.10 / $2,257.67 / $3,337.47	Professional		$462.10	$2,257.67	$3,337.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.11 / $4,310.97 / $14,194.81	Facility		$783.11	$4,310.97	$14,194.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $973.56 / $4,075.18 / $6,645.23	Professional		$973.56	$4,075.18	$6,645.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $863.73 / $4,259.35 / $6,281.09	Facility		$863.73	$4,259.35	$6,281.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $783.11 / $3,239.75 / $5,213.81	Professional		$783.11	$3,239.75	$5,213.81
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,979.68 / $4,043.83 / $5,858.60	Professional		$1,979.68	$4,043.83	$5,858.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $844.70 / $4,045.10	Professional		$718.00	$844.70	$4,045.10