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 $631.91 / $1,081.96 / $4,082.60	Professional		$631.91	$1,081.96	$4,082.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.31 / $1,576.90 / $1,971.12	Professional		$1,412.31	$1,576.90	$1,971.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.41 / $978.76 / $1,413.56	Professional		$678.41	$978.76	$1,413.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,736.66 / $9,495.24	Facility		$936.00	$1,736.66	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $715.35 / $1,412.31 / $2,260.86	Professional		$715.35	$1,412.31	$2,260.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $775.09 / $1,412.31 / $2,009.63	Facility		$775.09	$1,412.31	$2,009.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $775.09 / $1,335.31 / $1,985.24	Professional		$775.09	$1,335.31	$1,985.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.35 / $1,339.66 / $2,116.98	Professional		$715.35	$1,339.66	$2,116.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,187.60 / $1,503.30 / $1,768.60	Professional		$1,187.60	$1,503.30	$1,768.60