Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.12 / $510.61 / $794.32	Professional		$272.12	$510.61	$794.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.56 / $853.11 / $1,220.20	Professional		$358.56	$853.11	$1,220.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $262.94 / $448.05 / $820.89	Professional		$262.94	$448.05	$820.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $631.23 / $1,054.39 / $6,226.87	Facility		$631.23	$1,054.39	$6,226.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $517.01 / $842.36 / $2,197.04	Professional		$517.01	$842.36	$2,197.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $676.57 / $1,054.39 / $1,908.09	Facility		$676.57	$1,054.39	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $607.00 / $849.81 / $1,220.20	Professional		$607.00	$849.81	$1,220.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.84 / $689.34 / $1,293.66	Professional		$470.84	$689.34	$1,293.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $652.70 / $993.90	Professional		$554.79	$652.70	$993.90