Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $5,370.32 / $7,943.28	Facility		$616.60	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,071.52	Professional		$354.81	$512.86	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,096.48	Professional		$870.96	$954.99	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,445.44	Professional		$380.19	$645.65	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $6,606.93	Facility		$630.96	$1,096.48	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,513.56	Professional		$467.74	$851.14	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,548.82	Professional		$812.83	$977.24	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,096.48	Professional		$851.14	$851.14	$1,096.48
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 $426.58 / $676.08 / $1,288.25	Professional		$426.58	$676.08	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $954.99	Professional		$645.65	$812.83	$954.99