Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,955.00 / $11,668.15	Facility		$4,964.00	$6,955.00	$11,668.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.99 / $750.34 / $921.30	Professional		$625.99	$750.34	$921.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,222.02 / $1,520.09 / $1,660.38	Professional		$1,222.02	$1,520.09	$1,660.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $601.44 / $941.69 / $3,249.21	Professional		$601.44	$941.69	$3,249.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,064.59 / $1,889.84 / $43,699.13	Facility		$1,064.59	$1,889.84	$43,699.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $749.35 / $1,509.87 / $4,016.73	Professional		$749.35	$1,509.87	$4,016.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $959.18 / $1,392.34 / $1,660.38	Facility		$959.18	$1,392.34	$1,660.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,010.65 / $1,401.37 / $1,731.83	Professional		$1,010.65	$1,401.37	$1,731.83
United Facility/Professional Facility Modifier Low / Median / High Price $9,780.00 / $13,193.00 / $19,114.00	Facility		$9,780.00	$13,193.00	$19,114.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.13 / $1,435.62 / $1,947.13	Professional		$718.13	$1,435.62	$1,947.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,020.52 / $1,291.80 / $1,519.80	Professional		$1,020.52	$1,291.80	$1,519.80