Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,981.07 / $6,760.83	Facility		$758.58	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $1,230.27	Professional		$389.05	$501.19	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,412.54	Professional		$812.83	$1,122.02	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,905.46	Professional		$407.38	$676.08	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,174.90 / $8,912.51	Facility		$575.44	$1,174.90	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $891.25 / $3,630.78	Professional		$467.74	$891.25	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,288.25	Professional		$891.25	$1,071.52	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,288.25	Professional		$794.33	$891.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,258.93	Professional		$446.68	$660.69	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,122.02	Professional		$758.58	$954.99	$1,122.02