Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,981.07 / $6,760.83	Facility		$562.34	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $870.96	Professional		$309.03	$371.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,023.29	Professional		$630.96	$831.76	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $1,174.90	Professional		$316.23	$501.19	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $912.01 / $4,786.30	Facility		$489.78	$912.01	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $4,786.30	Professional		$354.81	$676.08	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $977.24	Professional		$676.08	$812.83	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $977.24	Professional		$645.65	$676.08	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,248.07	Facility		$1,819.70	$3,890.45	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $977.24	Professional		$338.84	$512.86	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $831.76	Professional		$562.34	$707.95	$831.76