Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,159.42 / $7,600.02 / $7,600.02	Facility		$6,159.42	$7,600.02	$7,600.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,519.67 / $3,519.67 / $3,519.67	Professional		$3,519.67	$3,519.67	$3,519.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.90 / $3,379.89 / $5,348.77	Professional		$471.90	$3,379.89	$5,348.77
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 $536.25 / $683.80 / $5,348.77	Facility		$536.25	$683.80	$5,348.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $3,666.33 / $5,348.77	Professional		$713.50	$3,666.33	$5,348.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $513.29 / $1,100.92 / $3,379.89	Facility		$513.29	$1,100.92	$3,379.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $513.29 / $660.96 / $3,379.89	Professional		$513.29	$660.96	$3,379.89
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $4,032.96	Professional		$3,666.33	$3,666.33	$4,032.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $540.20 / $683.80 / $683.80	Professional		$540.20	$683.80	$683.80