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 $162.96 / $242.80 / $1,036.74	Professional		$162.96	$242.80	$1,036.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.25 / $433.81 / $462.76	Professional		$348.25	$433.81	$462.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $300.06 / $464.24	Professional		$171.78	$300.06	$464.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $344.75 / $452.94 / $6,608.00	Facility		$344.75	$452.94	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.26 / $400.60 / $1,148.03	Professional		$213.26	$400.60	$1,148.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $278.08 / $411.88 / $464.04	Facility		$278.08	$411.88	$464.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $382.90 / $493.61	Professional		$276.00	$382.90	$493.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $385.65 / $549.35	Professional		$204.38	$385.65	$549.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $369.00 / $434.10	Professional		$291.51	$369.00	$434.10