Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,801.89 / $6,760.83	Facility		$776.25	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,288.25	Professional		$436.52	$575.44	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,737.80	Professional		$1,122.02	$1,380.38	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $2,570.40	Professional		$467.74	$741.31	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $5,495.41	Facility		$707.95	$1,412.54	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $1,778.28	Professional		$630.96	$1,122.02	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,548.82	Professional		$1,096.48	$1,288.25	$1,548.82
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 $537.03 / $741.31 / $1,445.44	Professional		$537.03	$741.31	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,202.26	Professional		$812.83	$1,023.29	$1,202.26