Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,570.88 / $7,079.46	Facility		$575.44	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,202.26	Professional		$338.84	$512.86	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,513.56	Professional		$676.08	$1,071.52	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $1,905.46	Professional		$371.54	$616.60	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,122.02 / $5,248.07	Facility		$588.84	$1,122.02	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $3,090.30	Professional		$549.54	$1,047.13	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,348.96	Professional		$870.96	$1,122.02	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,348.96	Professional		$724.44	$1,023.29	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $660.69 / $1,288.25	Professional		$389.05	$660.69	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,148.15	Professional		$707.95	$831.76	$1,148.15