Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,981.07 / $6,760.83	Facility		$724.44	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $2,041.74	Professional		$416.87	$501.19	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,348.96	Professional		$812.83	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,737.80	Professional		$407.38	$630.96	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,202.26 / $8,912.51	Facility		$707.95	$1,202.26	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $3,388.44	Professional		$457.09	$891.25	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,230.27	Professional		$891.25	$1,023.29	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $891.25 / $1,230.27	Professional		$870.96	$891.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,258.93	Professional		$436.52	$645.65	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,071.52	Professional		$707.95	$912.01	$1,071.52