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 $446.39 / $749.85 / $2,860.76	Professional		$446.39	$749.85	$2,860.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.85 / $1,203.76 / $1,367.32	Professional		$1,093.85	$1,203.76	$1,367.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $449.76 / $769.35 / $1,372.13	Professional		$449.76	$769.35	$1,372.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $1,352.85 / $9,874.90	Facility		$867.00	$1,352.85	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $564.97 / $1,139.35 / $1,928.98	Professional		$564.97	$1,139.35	$1,928.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $1,480.83 / $3,170.91	Facility		$867.00	$1,480.83	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $757.95 / $1,087.00 / $1,480.83	Professional		$757.95	$1,087.00	$1,480.83
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 $541.42 / $1,139.35 / $1,532.63	Professional		$541.42	$1,139.35	$1,532.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $771.20 / $976.20 / $1,148.50	Professional		$771.20	$976.20	$1,148.50