Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,090.30 / $6,760.83	Facility		$616.60	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,659.59	Professional		$371.54	$588.84	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,513.56	Professional		$691.83	$1,122.02	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $1,513.56	Professional		$354.81	$645.65	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $6,918.31	Facility		$602.56	$1,071.52	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $3,090.30	Professional		$549.54	$1,047.13	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,445.44	Professional		$891.25	$1,047.13	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,445.44	Professional		$758.58	$1,023.29	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $8,912.51	Facility		$4,168.69	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,288.25	Professional		$398.11	$645.65	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,174.90	Professional		$758.58	$891.25	$1,174.90