Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,630.78 / $6,760.83	Facility		$660.69	$3,630.78	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,995.26	Professional		$660.69	$812.83	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $2,290.87	Professional		$1,778.28	$1,862.09	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $3,467.37	Professional		$724.44	$1,071.52	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,187.76 / $7,413.10	Facility		$933.25	$2,187.76	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $2,344.23	Professional		$776.25	$1,318.26	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,290.87	Professional		$1,513.56	$1,949.84	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $7,762.47	Facility		$3,162.28	$5,370.32	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,041.74	Professional		$741.31	$1,071.52	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,698.24	Professional		$1,148.15	$1,445.44	$1,698.24