Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $1,265.57 / $3,500.80	Professional		$217.50	$1,265.57	$3,500.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.36 / $4,148.43 / $5,634.84	Professional		$471.36	$4,148.43	$5,634.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $201.73 / $2,199.23 / $3,052.75	Professional		$201.73	$2,199.23	$3,052.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $518.03 / $4,816.21 / $13,476.00	Facility		$518.03	$4,816.21	$13,476.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.07 / $4,965.78 / $9,321.16	Professional		$580.07	$4,965.78	$9,321.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $521.41 / $3,844.02 / $5,711.35	Facility		$521.41	$3,844.02	$5,711.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $470.16 / $4,148.43 / $6,287.54	Professional		$470.16	$4,148.43	$6,287.54
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 $2,678.41 / $5,315.05 / $7,995.95	Professional		$2,678.41	$5,315.05	$7,995.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $507.10 / $4,474.50	Professional		$431.00	$507.10	$4,474.50