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 $547.29 / $887.95 / $919.51	Professional		$547.29	$887.95	$919.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.47 / $1,392.25 / $1,740.31	Professional		$1,135.47	$1,392.25	$1,740.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $589.66 / $926.86 / $2,128.02	Professional		$589.66	$926.86	$2,128.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $802.48 / $1,468.20 / $6,036.00	Facility		$802.48	$1,468.20	$6,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $651.16 / $1,220.24 / $4,637.92	Professional		$651.16	$1,220.24	$4,637.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,142.61 / $1,481.32 / $2,051.56	Facility		$1,142.61	$1,481.32	$2,051.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $874.04 / $1,324.82 / $1,827.53	Professional		$874.04	$1,324.82	$1,827.53
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.13 / $947.76 / $1,771.13	Professional		$629.13	$947.76	$1,771.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $981.50 / $1,242.40 / $1,461.70	Professional		$981.50	$1,242.40	$1,461.70