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 / $1,584.89	Professional		$562.34	$645.65	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,862.09	Professional		$1,148.15	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $2,137.96	Professional		$602.56	$870.96	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,621.81 / $17,782.79	Facility		$870.96	$1,621.81	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $4,786.30	Professional		$660.69	$1,288.25	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,621.81	Professional		$1,318.26	$1,479.11	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,621.81	Professional		$1,288.25	$1,288.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $19,498.45	Facility		$4,365.16	$7,413.10	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,778.28	Professional		$602.56	$933.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,445.44	Professional		$977.24	$1,230.27	$1,445.44