Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,235.94 / $6,760.83	Facility		$794.33	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $1,258.93	Professional		$426.58	$512.86	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,479.11	Professional		$851.14	$1,174.90	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,445.44	Professional		$389.05	$676.08	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $17,378.01	Facility		$616.60	$1,230.27	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $870.96 / $3,715.35	Professional		$457.09	$870.96	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,348.96	Professional		$870.96	$1,047.13	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $1,348.96	Professional		$851.14	$870.96	$1,348.96
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 $436.52 / $660.69 / $1,288.25	Professional		$436.52	$660.69	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,148.15	Professional		$776.25	$977.24	$1,148.15