Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,467.37 / $6,760.83	Facility		$707.95	$3,467.37	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,174.90	Professional		$323.59	$501.19	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,412.54	Professional		$630.96	$1,047.13	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,096.48	Professional		$323.59	$588.84	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,000.00 / $6,456.54	Facility		$537.03	$1,000.00	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $977.24 / $2,630.27	Professional		$512.86	$977.24	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,288.25	Professional		$776.25	$933.25	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,288.25	Professional		$676.08	$977.24	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $7,762.47	Facility		$3,162.28	$5,495.41	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $1,174.90	Professional		$363.08	$588.84	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,096.48	Professional		$676.08	$812.83	$1,096.48