Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,265.80 / $7,762.47	Facility		$758.58	$4,265.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $1,258.93	Professional		$302.00	$501.19	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,412.54	Professional		$588.84	$977.24	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,071.52	Professional		$316.23	$575.44	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $7,244.36	Facility		$512.86	$1,000.00	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $933.25 / $2,570.40	Professional		$501.19	$933.25	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,288.25	Professional		$758.58	$870.96	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,288.25	Professional		$630.96	$912.01	$1,288.25
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 $346.74 / $562.34 / $1,174.90	Professional		$346.74	$562.34	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,071.52	Professional		$645.65	$758.58	$1,071.52