Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,981.07 / $6,760.83	Facility		$977.24	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,584.89	Professional		$562.34	$645.65	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,819.70	Professional		$1,445.44	$1,445.44	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,995.26	Professional		$562.34	$870.96	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $17,782.79	Facility		$891.25	$1,659.59	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,202.26 / $4,570.88	Professional		$616.60	$1,202.26	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,698.24	Professional		$1,230.27	$1,412.54	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $1,698.24	Professional		$1,174.90	$1,202.26	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,698.24	Professional		$602.56	$870.96	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,445.44	Professional		$977.24	$1,230.27	$1,445.44