Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,090.30 / $6,760.83	Facility		$741.31	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,230.27	Professional		$436.52	$724.44	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,348.96 / $2,187.76	Professional		$676.08	$1,348.96	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $831.76 / $2,818.38	Professional		$288.40	$831.76	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $12,589.25	Facility		$707.95	$1,288.25	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,258.93 / $4,897.79	Professional		$660.69	$1,258.93	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,995.26	Professional		$912.01	$1,318.26	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,995.26	Professional		$676.08	$1,122.02	$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 $398.11 / $758.58 / $1,659.59	Professional		$398.11	$758.58	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,621.81	Professional		$870.96	$1,023.29	$1,621.81