Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,981.07 / $6,760.83	Facility		$977.24	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,548.82	Professional		$562.34	$660.69	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,778.28	Professional		$1,122.02	$1,445.44	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $2,137.96	Professional		$588.84	$870.96	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $8,317.64	Facility		$977.24	$1,584.89	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,258.93 / $5,248.07	Professional		$602.56	$1,258.93	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,659.59	Professional		$1,318.26	$1,513.56	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,659.59	Professional		$1,122.02	$1,202.26	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,698.24	Professional		$588.84	$912.01	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,445.44	Professional		$954.99	$1,202.26	$1,445.44