Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,981.07 / $6,760.83	Facility		$741.31	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $1,202.26	Professional		$426.58	$489.78	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,380.38	Professional		$794.33	$1,122.02	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $1,548.82	Professional		$371.54	$660.69	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $5,623.41	Facility		$645.65	$1,174.90	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $912.01 / $3,548.13	Professional		$446.68	$912.01	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,288.25	Professional		$794.33	$1,047.13	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,288.25	Professional		$812.83	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $6,760.83	Facility		$2,951.21	$5,128.61	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,288.25	Professional		$426.58	$660.69	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,096.48	Professional		$741.31	$933.25	$1,096.48