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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.51 / $264.22 / $264.22	Professional		$232.51	$264.22	$264.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.66 / $164.30 / $1,914.00	Facility		$96.66	$164.30	$1,914.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $164.30 / $442.39	Professional		$85.84	$164.30	$442.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.66 / $149.86 / $189.25	Facility		$116.66	$149.86	$189.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $161.82 / $263.32	Professional		$116.66	$161.82	$263.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $153.83 / $300.01	Professional		$82.26	$153.83	$300.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $188.80 / $222.20	Professional		$149.15	$188.80	$222.20