Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,090.30 / $6,760.83	Facility		$512.86	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $831.76	Professional		$316.23	$457.09	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,348.96	Professional		$588.84	$933.25	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $1,174.90	Professional		$309.03	$562.34	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $954.99 / $7,244.36	Facility		$512.86	$954.99	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $2,691.53	Professional		$489.78	$954.99	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,202.26	Professional		$758.58	$870.96	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,202.26	Professional		$645.65	$912.01	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $1,148.15	Professional		$346.74	$575.44	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,047.13	Professional		$645.65	$758.58	$1,047.13