Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,981.07 / $6,760.83	Facility		$794.33	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,174.90	Professional		$436.52	$524.81	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,479.11	Professional		$912.01	$1,174.90	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,584.89	Professional		$446.68	$707.95	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $17,782.79	Facility		$794.33	$1,318.26	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $977.24 / $4,168.69	Professional		$489.78	$977.24	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,348.96	Professional		$1,000.00	$1,174.90	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,348.96	Professional		$954.99	$954.99	$1,348.96
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 $478.63 / $707.95 / $1,380.38	Professional		$478.63	$707.95	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,174.90	Professional		$776.25	$1,000.00	$1,174.90