Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,235.94 / $6,760.83	Facility		$891.25	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,445.44	Professional		$467.74	$588.84	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,659.59	Professional		$933.25	$1,318.26	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $2,089.30	Professional		$524.81	$794.33	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,412.54 / $5,888.44	Facility		$630.96	$1,412.54	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $4,466.84	Professional		$549.54	$1,023.29	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,548.82	Professional		$933.25	$1,258.93	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,548.82	Professional		$977.24	$1,000.00	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $6,456.54	Facility		$2,818.38	$5,011.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,479.11	Professional		$524.81	$776.25	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,318.26	Professional		$891.25	$1,122.02	$1,318.26