Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,011.87 / $7,943.28	Facility		$602.56	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,174.90	Professional		$346.74	$501.19	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,584.89	Professional		$954.99	$1,174.90	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $1,548.82	Professional		$371.54	$660.69	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $5,495.41	Facility		$602.56	$1,258.93	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $954.99 / $1,584.89	Professional		$512.86	$954.99	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,445.44	Professional		$851.14	$1,096.48	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $6,760.83	Facility		$2,691.53	$5,011.87	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,174.90	Professional		$416.87	$602.56	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,148.15	Professional		$724.44	$851.14	$1,148.15