Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.15 / $3,419.00 / $6,446.00	Facility		$988.15	$3,419.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.23 / $520.08 / $1,874.54	Professional		$301.23	$520.08	$1,874.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.95 / $940.76 / $1,513.40	Professional		$648.95	$940.76	$1,513.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.27 / $705.46 / $1,104.94	Professional		$326.27	$705.46	$1,104.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $520.08 / $884.63 / $3,416.04	Facility		$520.08	$884.63	$3,416.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.01 / $953.25 / $3,473.57	Professional		$537.01	$953.25	$3,473.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $758.05 / $1,126.79 / $1,416.56	Facility		$758.05	$1,126.79	$1,416.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $664.65 / $924.39 / $1,359.52	Professional		$664.65	$924.39	$1,359.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $777.82 / $1,448.70	Professional		$488.01	$777.82	$1,448.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $651.40 / $766.30 / $1,199.70	Professional		$651.40	$766.30	$1,199.70