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 $329.10 / $374.08 / $413.62	Professional		$329.10	$374.08	$413.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.00 / $768.37 / $852.89	Professional		$633.00	$768.37	$852.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $293.10 / $517.73 / $759.42	Professional		$293.10	$517.73	$759.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $557.13 / $873.42 / $18,466.27	Facility		$557.13	$873.42	$18,466.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $438.51 / $715.39 / $2,314.88	Professional		$438.51	$715.39	$2,314.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $420.22 / $698.72 / $852.89	Facility		$420.22	$698.72	$852.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $420.22 / $654.29 / $841.89	Professional		$420.22	$654.29	$841.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $11,555.00 / $14,479.00	Facility		$8,220.00	$11,555.00	$14,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.44 / $715.39 / $1,082.92	Professional		$419.44	$715.39	$1,082.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $479.69 / $607.20 / $714.40	Professional		$479.69	$607.20	$714.40