Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,090.30 / $7,943.28	Facility		$426.58	$3,090.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $1,230.27	Professional		$190.55	$346.74	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,000.00	Professional		$478.63	$616.60	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $1,318.26	Professional		$204.17	$398.11	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $812.83 / $5,495.41	Facility		$389.05	$812.83	$5,495.41
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,096.48	Professional		$380.19	$575.44	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $933.25	Professional		$478.63	$602.56	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,388.44 / $6,309.57	Facility		$1,348.96	$3,388.44	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $794.33	Professional		$257.04	$398.11	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $707.95	Professional		$389.05	$457.09	$707.95