Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,398.83	Facility		$1,412.54	$1,412.54	$2,398.83
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $14,454.40 / $36,307.81	Facility		$3,311.31	$14,454.40	$36,307.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,698.24	Facility		$1,412.54	$1,412.54	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $14,791.08 / $36,307.81	Facility		$3,630.78	$14,791.08	$36,307.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $18,197.01 / $40,738.03	Facility		$1,047.13	$18,197.01	$40,738.03