Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.76 / $727.59 / $819.21	Professional		$448.76	$727.59	$819.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.89 / $1,155.74 / $1,430.62	Professional		$898.89	$1,155.74	$1,430.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.93 / $762.09 / $1,529.35	Professional		$482.93	$762.09	$1,529.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $727.59 / $1,149.33 / $3,396.00	Facility		$727.59	$1,149.33	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $533.37 / $974.30 / $6,287.40	Professional		$533.37	$974.30	$6,287.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $827.00 / $1,155.74 / $1,503.24	Facility		$827.00	$1,155.74	$1,503.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $735.00 / $1,149.33 / $1,439.33	Professional		$735.00	$1,149.33	$1,439.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.12 / $775.81 / $1,454.64	Professional		$509.12	$775.81	$1,454.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $805.09 / $1,019.10 / $1,198.90	Professional		$805.09	$1,019.10	$1,198.90