Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $6,025.60	Facility		$741.31	$2,818.38	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,318.26	Professional		$331.13	$562.34	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,513.56	Professional		$645.65	$1,071.52	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,174.90	Professional		$346.74	$630.96	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $7,244.36	Facility		$562.34	$1,000.00	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,000.00 / $2,754.23	Professional		$537.03	$1,000.00	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,380.38	Professional		$831.76	$954.99	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,380.38	Professional		$676.08	$977.24	$1,380.38
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 $380.19 / $630.96 / $1,258.93	Professional		$380.19	$630.96	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,174.90	Professional		$707.95	$831.76	$1,174.90