Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,090.30 / $6,760.83	Facility		$707.95	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $2,344.23	Professional		$380.19	$588.84	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,348.96	Professional		$812.83	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,584.89	Professional		$389.05	$630.96	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,174.90 / $5,128.61	Facility		$588.84	$1,174.90	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $870.96 / $4,365.16	Professional		$436.52	$870.96	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,230.27	Professional		$870.96	$1,023.29	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $1,230.27	Professional		$851.14	$870.96	$1,230.27
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 $426.58 / $630.96 / $1,230.27	Professional		$426.58	$630.96	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,047.13	Professional		$707.95	$891.25	$1,047.13