Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,162.28 / $6,760.83	Facility		$602.56	$3,162.28	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,737.80	Professional		$354.81	$562.34	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,412.54	Professional		$645.65	$1,047.13	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $1,513.56	Professional		$354.81	$616.60	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $6,456.54	Facility		$562.34	$1,023.29	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $3,630.78	Professional		$501.19	$954.99	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,258.93	Professional		$812.83	$1,071.52	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,258.93	Professional		$707.95	$912.01	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $7,762.47	Facility		$3,162.28	$5,495.41	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,258.93	Professional		$380.19	$676.08	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,122.02	Professional		$707.95	$831.76	$1,122.02