Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,090.30 / $6,760.83	Facility		$407.38	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $691.83	Professional		$251.19	$398.11	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,148.15	Professional		$489.78	$758.58	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $1,348.96	Professional		$263.03	$457.09	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $831.76 / $7,244.36	Facility		$407.38	$831.76	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $2,290.87	Professional		$446.68	$831.76	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,047.13	Professional		$645.65	$707.95	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,047.13	Professional		$537.03	$831.76	$1,047.13
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 $302.00 / $512.86 / $1,047.13	Professional		$302.00	$512.86	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $870.96	Professional		$501.19	$588.84	$870.96