Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,981.07 / $6,760.83	Facility		$724.44	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $2,041.74	Professional		$426.58	$691.83	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,318.26	Professional		$812.83	$1,071.52	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,584.89	Professional		$436.52	$660.69	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,202.26 / $7,079.46	Facility		$562.34	$1,202.26	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $912.01 / $3,090.30	Professional		$478.63	$912.01	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,230.27	Professional		$891.25	$1,047.13	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,202.26	Professional		$912.01	$912.01	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $8,912.51	Facility		$4,168.69	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,288.25	Professional		$457.09	$691.83	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,071.52	Professional		$724.44	$912.01	$1,071.52