Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,786.30 / $7,079.46	Facility		$794.33	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $1,288.25	Professional		$457.09	$524.81	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,479.11	Professional		$891.25	$1,174.90	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,995.26	Professional		$436.52	$707.95	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $8,912.51	Facility		$794.33	$1,348.96	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $977.24 / $4,365.16	Professional		$489.78	$977.24	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,380.38	Professional		$954.99	$1,122.02	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,380.38	Professional		$933.25	$933.25	$1,380.38
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 $478.63 / $707.95 / $1,348.96	Professional		$478.63	$707.95	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,174.90	Professional		$794.33	$1,000.00	$1,174.90