Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,981.07 / $6,760.83	Facility		$794.33	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,288.25	Professional		$416.87	$524.81	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,479.11	Professional		$851.14	$1,202.26	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,778.28	Professional		$467.74	$724.44	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $8,912.51	Facility		$630.96	$1,202.26	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $891.25 / $3,801.89	Professional		$489.78	$891.25	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,380.38	Professional		$933.25	$1,122.02	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,380.38	Professional		$851.14	$851.14	$1,380.38
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 $467.74 / $691.83 / $1,348.96	Professional		$467.74	$691.83	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,174.90	Professional		$794.33	$1,000.00	$1,174.90