Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,011.87 / $7,943.28	Facility		$851.14	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $1,380.38	Professional		$501.19	$616.60	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,584.89	Professional		$1,000.00	$1,258.93	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $2,344.23	Professional		$478.63	$724.44	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $14,791.08	Facility		$812.83	$1,412.54	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $4,897.79	Professional		$575.44	$1,096.48	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,445.44	Professional		$1,148.15	$1,318.26	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,445.44	Professional		$1,122.02	$1,122.02	$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 $524.81 / $812.83 / $1,548.82	Professional		$524.81	$812.83	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,230.27	Professional		$812.83	$1,023.29	$1,230.27