Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,090.30 / $6,760.83	Facility		$676.08	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,380.38	Professional		$436.52	$630.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,621.81	Professional		$794.33	$1,174.90	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,380.38	Professional		$398.11	$676.08	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $12,589.25	Facility		$630.96	$1,202.26	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $4,897.79	Professional		$616.60	$1,148.15	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,445.44	Professional		$1,023.29	$1,148.15	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,445.44	Professional		$954.99	$1,174.90	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $15,848.93	Facility		$4,365.16	$7,413.10	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,412.54	Professional		$467.74	$741.31	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,258.93	Professional		$831.76	$1,000.00	$1,258.93