Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,801.89 / $7,943.28	Facility		$660.69	$3,801.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,905.46	Professional		$389.05	$630.96	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,202.26	Professional		$660.69	$954.99	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,445.44	Professional		$389.05	$588.84	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $5,370.32	Facility		$501.19	$1,071.52	$5,370.32
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	AS	$380.19	$380.19	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $794.33 / $2,754.23	Professional		$426.58	$794.33	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $933.25 / $1,122.02	Professional		$524.81	$933.25	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,071.52	Professional		$812.83	$812.83	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,174.90	Professional		$416.87	$602.56	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $977.24	Professional		$645.65	$831.76	$977.24