Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,235.94 / $6,760.83	Facility		$977.24	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,621.81	Professional		$524.81	$676.08	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,905.46	Professional		$1,445.44	$1,513.56	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $2,570.40	Professional		$602.56	$851.14	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,905.46 / $7,244.36	Facility		$758.58	$1,905.46	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,905.46	Professional		$645.65	$1,047.13	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,819.70	Professional		$1,202.26	$1,548.82	$1,819.70
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 $645.65 / $870.96 / $1,698.24	Professional		$645.65	$870.96	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,380.38	Professional		$933.25	$1,174.90	$1,380.38