Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $5,370.32 / $13,489.63	Facility		$630.96	$5,370.32	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $1,047.13	Professional		$371.54	$524.81	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,122.02	Professional		$912.01	$1,000.00	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,584.89	Professional		$407.38	$630.96	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $7,079.46	Facility		$724.44	$1,122.02	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $1,479.11	Professional		$489.78	$912.01	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,513.56	Professional		$724.44	$1,000.00	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,348.96	Professional		$467.74	$707.95	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $977.24	Professional		$660.69	$831.76	$977.24