Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,981.07 / $6,760.83	Facility		$933.25	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $1,513.56	Professional		$549.54	$630.96	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,737.80	Professional		$1,096.48	$1,380.38	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,905.46	Professional		$549.54	$831.76	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,584.89 / $17,782.79	Facility		$933.25	$1,584.89	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $4,466.84	Professional		$602.56	$1,174.90	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,621.81	Professional		$1,230.27	$1,479.11	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,621.81	Professional		$1,148.15	$1,148.15	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,659.59	Professional		$575.44	$851.14	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,380.38	Professional		$933.25	$1,174.90	$1,380.38