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 $460.16 / $720.14 / $788.52	Professional		$460.16	$720.14	$788.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.18 / $1,144.09 / $1,416.01	Professional		$953.18	$1,144.09	$1,416.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $480.06 / $754.38 / $1,515.25	Professional		$480.06	$754.38	$1,515.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.18 / $1,247.00 / $5,015.03	Facility		$692.18	$1,247.00	$5,015.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.04 / $994.59 / $3,762.64	Professional		$528.04	$994.59	$3,762.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $956.00 / $1,337.79 / $1,750.65	Facility		$956.00	$1,337.79	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $725.65 / $1,141.29 / $1,492.70	Professional		$725.65	$1,141.29	$1,492.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.04 / $768.06 / $1,522.97	Professional		$504.04	$768.06	$1,522.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $796.95 / $1,008.80 / $1,186.90	Professional		$796.95	$1,008.80	$1,186.90