Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $891.25	Facility		$776.25	$891.25	$891.25
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 $2,187.76 / $10,000.00 / $18,197.01	Facility		$2,187.76	$10,000.00	$18,197.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $10,964.78 / $18,620.87	Facility		$2,754.23	$10,964.78	$18,620.87
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