Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.47 / $3,576.15 / $7,053.10	Facility		$896.47	$3,576.15	$7,053.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.06 / $521.54 / $767.60	Professional		$317.06	$521.54	$767.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.68 / $944.02 / $1,355.63	Professional		$682.68	$944.02	$1,355.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $312.45 / $590.35 / $1,264.78	Professional		$312.45	$590.35	$1,264.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $554.86 / $921.06 / $5,321.00	Facility		$554.86	$921.06	$5,321.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $154.86 / $154.86 / $154.86	Facility	AS	$154.86	$154.86	$154.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $546.39 / $978.75 / $2,553.36	Professional		$546.39	$978.75	$2,553.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $744.53 / $1,061.98 / $2,197.38	Facility		$744.53	$1,061.98	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $684.75 / $921.06 / $1,306.74	Professional		$684.75	$921.06	$1,306.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,687.93 / $5,732.00 / $8,342.00	Facility		$3,687.93	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.88 / $760.19 / $1,415.86	Professional		$498.88	$760.19	$1,415.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $656.50 / $772.40 / $1,066.80	Professional		$656.50	$772.40	$1,066.80