Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,981.07 / $6,760.83	Facility		$954.99	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,621.81	Professional		$501.19	$660.69	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,862.09	Professional		$1,412.54	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $2,691.53	Professional		$549.54	$851.14	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,621.81 / $6,309.57	Facility		$912.01	$1,621.81	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,862.09	Professional		$616.60	$1,000.00	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,862.09	Professional		$1,202.26	$1,548.82	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,621.81	Professional		$602.56	$851.14	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Professional		$912.01	$1,148.15	$1,348.96