Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,235.94 / $6,760.83	Facility		$912.01	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $1,445.44	Professional		$524.81	$602.56	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,659.59	Professional		$1,023.29	$1,348.96	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,819.70	Professional		$501.19	$794.33	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $8,912.51	Facility		$794.33	$1,513.56	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $4,365.16	Professional		$562.34	$1,122.02	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,548.82	Professional		$1,096.48	$1,288.25	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,548.82	Professional		$1,071.52	$1,096.48	$1,548.82
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 $549.54 / $794.33 / $1,548.82	Professional		$549.54	$794.33	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,318.26	Professional		$891.25	$1,122.02	$1,318.26