Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $7,943.28	Facility		$1,047.13	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,698.24	Professional		$602.56	$707.95	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,905.46	Professional		$1,202.26	$1,548.82	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $2,691.53	Professional		$616.60	$933.25	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,445.44 / $9,772.37	Facility		$831.76	$1,445.44	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $5,011.87	Professional		$676.08	$1,230.27	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,819.70	Professional		$1,318.26	$1,513.56	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,819.70	Professional		$1,288.25	$1,288.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,120.11 / $14,125.38	Facility		$5,128.61	$9,120.11	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,862.09	Professional		$645.65	$933.25	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,548.82	Professional		$1,047.13	$1,318.26	$1,548.82