Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,981.07 / $6,760.83	Facility		$645.65	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $1,047.13	Professional		$371.54	$426.58	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,202.26	Professional		$707.95	$954.99	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,318.26	Professional		$323.59	$562.34	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,071.52 / $5,370.32	Facility		$512.86	$1,071.52	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $3,019.95	Professional		$398.11	$794.33	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,096.48	Professional		$707.95	$912.01	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $1,096.48	Professional		$741.31	$758.58	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,071.52	Professional		$380.19	$562.34	$1,071.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $954.99	Professional		$645.65	$812.83	$954.99