Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,621.81 / $5,370.32	Facility		$275.42	$1,621.81	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $3,090.30	Professional		$316.23	$562.34	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,513.56	Professional		$562.34	$933.25	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $1,071.52	Professional		$295.12	$588.84	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $954.99 / $4,897.79	Facility		$501.19	$954.99	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $912.01 / $2,344.23	Professional		$457.09	$912.01	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,318.26	Professional		$707.95	$831.76	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,318.26	Professional		$616.60	$933.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,202.26	Professional		$323.59	$575.44	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,174.90	Professional		$630.96	$741.31	$1,174.90