Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $8,851.00 / $11,923.23	Facility		$4,964.00	$8,851.00	$11,923.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.37 / $1,568.60 / $2,271.86	Professional		$422.37	$1,568.60	$2,271.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.23 / $784.55 / $4,023.08	Professional		$595.23	$784.55	$4,023.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.75 / $1,865.61 / $3,989.71	Professional		$257.75	$1,865.61	$3,989.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $665.38 / $3,839.44 / $8,400.95	Facility		$665.38	$3,839.44	$8,400.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.04 / $3,572.03 / $8,752.69	Professional		$734.04	$3,572.03	$8,752.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $641.66 / $3,726.59 / $5,003.17	Facility		$641.66	$3,726.59	$5,003.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.62 / $2,993.42 / $4,417.84	Professional		$602.62	$2,993.42	$4,417.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,805.64 / $10,320.00	Facility		$4,700.00	$7,805.64	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,747.47 / $3,421.48 / $5,029.68	Professional		$1,747.47	$3,421.48	$5,029.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $552.50 / $650.00 / $3,228.70	Professional		$552.50	$650.00	$3,228.70