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 / $1,548.82	Professional		$562.34	$645.65	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,778.28	Professional		$1,096.48	$1,445.44	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,995.26	Professional		$512.86	$851.14	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $17,782.79	Facility		$758.58	$1,548.82	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $4,570.88	Professional		$602.56	$1,174.90	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,659.59	Professional		$1,096.48	$1,380.38	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $1,659.59	Professional		$1,148.15	$1,174.90	$1,659.59
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 $575.44 / $851.14 / $1,621.81	Professional		$575.44	$851.14	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,412.54	Professional		$954.99	$1,202.26	$1,412.54