Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $4,786.30 / $7,079.46	Facility		$501.19	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $1,122.02	Professional		$288.40	$398.11	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $954.99	Professional		$575.44	$758.58	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $1,000.00	Professional		$269.15	$446.68	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $831.76 / $5,128.61	Facility		$426.58	$831.76	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $616.60 / $3,630.78	Professional		$309.03	$616.60	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $870.96	Professional		$616.60	$724.44	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $870.96	Professional		$588.84	$616.60	$870.96
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 $302.00 / $446.68 / $851.14	Professional		$302.00	$446.68	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $741.31	Professional		$501.19	$630.96	$741.31