Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $5,128.61 / $7,943.28	Facility		$467.74	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,778.28	Professional		$524.81	$758.58	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,187.76	Professional		$954.99	$1,621.81	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $2,238.72	Professional		$524.81	$891.25	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $12,589.25	Facility		$912.01	$1,548.82	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $5,011.87	Professional		$758.58	$1,412.54	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,995.26	Professional		$1,258.93	$1,548.82	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,995.26	Professional		$1,122.02	$1,412.54	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,165.95 / $15,848.93	Facility		$3,162.28	$6,165.95	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,778.28	Professional		$575.44	$891.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,659.59	Professional		$1,122.02	$1,318.26	$1,659.59