Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $6,456.54	Facility		$602.56	$3,981.07	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $2,238.72	Professional		$416.87	$812.83	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,258.93	Professional		$776.25	$1,023.29	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,445.44	Professional		$416.87	$630.96	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,148.15 / $7,079.46	Facility		$537.03	$1,148.15	$7,079.46
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	AS	$645.65	$645.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $2,951.21	Professional		$457.09	$831.76	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,174.90	Professional		$831.76	$1,000.00	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,122.02	Professional		$870.96	$870.96	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $8,912.51	Facility		$4,168.69	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,230.27	Professional		$436.52	$660.69	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,023.29	Professional		$691.83	$870.96	$1,023.29