Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,570.88 / $7,079.46	Facility		$870.96	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,659.59	Professional		$549.54	$676.08	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $1,949.84	Professional		$977.24	$1,513.56	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $2,290.87	Professional		$489.78	$794.33	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,479.11 / $7,244.36	Facility		$794.33	$1,479.11	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,412.54 / $4,073.80	Professional		$724.44	$1,412.54	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,737.80	Professional		$1,202.26	$1,412.54	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,737.80	Professional		$1,288.25	$1,548.82	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,778.28	Professional		$588.84	$891.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,479.11	Professional		$1,000.00	$1,258.93	$1,479.11