Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,981.07 / $6,760.83	Facility		$912.01	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $1,479.11	Professional		$524.81	$602.56	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,698.24	Professional		$1,023.29	$1,348.96	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,862.09	Professional		$501.19	$794.33	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,513.56 / $5,370.32	Facility		$891.25	$1,513.56	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $5,011.87	Professional		$575.44	$1,122.02	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,584.89	Professional		$1,096.48	$1,318.26	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,584.89	Professional		$1,096.48	$1,148.15	$1,584.89
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 $562.34 / $812.83 / $1,584.89	Professional		$562.34	$812.83	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Professional		$912.01	$1,148.15	$1,348.96