Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,981.07 / $6,760.83	Facility		$851.14	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $1,380.38	Professional		$489.78	$562.34	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,584.89	Professional		$977.24	$1,288.25	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,995.26	Professional		$501.19	$776.25	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,445.44 / $9,772.37	Facility		$691.83	$1,445.44	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,023.29 / $4,073.80	Professional		$524.81	$1,023.29	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,479.11	Professional		$1,023.29	$1,230.27	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,479.11	Professional		$1,023.29	$1,047.13	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,120.11 / $14,125.38	Facility		$5,128.61	$9,120.11	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,445.44	Professional		$501.19	$758.58	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,258.93	Professional		$851.14	$1,071.52	$1,258.93