Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $6,606.93 / $8,128.31	Facility		$724.44	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $1,174.90	Professional		$416.87	$478.63	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,348.96	Professional		$831.76	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,479.11	Professional		$407.38	$645.65	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $8,912.51	Facility		$724.44	$1,202.26	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $912.01 / $3,801.89	Professional		$446.68	$912.01	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,230.27	Professional		$912.01	$1,023.29	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,230.27	Professional		$870.96	$870.96	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,258.93	Professional		$446.68	$645.65	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,071.52	Professional		$724.44	$912.01	$1,071.52