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 $601.88 / $923.88 / $1,099.38	Professional		$601.88	$923.88	$1,099.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.77 / $1,741.29 / $2,176.61	Professional		$1,243.77	$1,741.29	$2,176.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $720.69 / $1,109.39 / $2,074.17	Professional		$720.69	$1,109.39	$2,074.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,099.38 / $1,504.81 / $3,396.00	Facility		$1,099.38	$1,504.81	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $773.48 / $1,390.35 / $6,736.51	Professional		$773.48	$1,390.35	$6,736.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,228.00 / $1,504.81 / $2,311.33	Facility		$1,228.00	$1,504.81	$2,311.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $895.75 / $1,481.23 / $2,169.27	Professional		$895.75	$1,481.23	$2,169.27
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 $699.82 / $1,178.64 / $2,164.71	Professional		$699.82	$1,178.64	$2,164.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.54 / $1,522.20 / $1,790.90	Professional		$1,202.54	$1,522.20	$1,790.90