Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,981.07 / $6,760.83	Facility		$660.69	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,454.71	Professional		$660.69	$660.69	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,621.81	Professional		$1,318.26	$1,412.54	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $4,265.80	Professional		$537.03	$831.76	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,606.93 / $10,964.78	Facility		$891.25	$6,606.93	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,412.54	Professional		$1,047.13	$1,071.52	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,715.19	Facility		$4,786.30	$7,762.47	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $3,388.44	Professional		$2,630.27	$3,388.44	$3,388.44