Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,981.07 / $6,760.83	Facility		$912.01	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,479.11	Professional		$478.63	$602.56	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,698.24	Professional		$977.24	$1,348.96	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,949.84	Professional		$489.78	$794.33	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,348.96 / $6,606.93	Facility		$741.31	$1,348.96	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,047.13 / $4,265.80	Professional		$562.34	$1,047.13	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,548.82	Professional		$1,071.52	$1,288.25	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,548.82	Professional		$977.24	$977.24	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,025.60 / $9,772.37	Facility		$3,467.37	$6,025.60	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,548.82	Professional		$537.03	$794.33	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,348.96	Professional		$891.25	$1,148.15	$1,348.96