Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,090.30 / $6,760.83	Facility		$630.96	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,288.25	Professional		$380.19	$562.34	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $1,737.80	Professional		$954.99	$1,412.54	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $724.44 / $1,445.44	Professional		$389.05	$724.44	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,659.59	Facility		$616.60	$1,023.29	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,862.09	Professional		$630.96	$1,023.29	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,659.59	Professional		$891.25	$1,122.02	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,344.23	Facility		$758.58	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,380.38	Professional		$467.74	$691.83	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,258.93	Professional		$758.58	$891.25	$1,258.93