Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,370.32 / $7,943.28	Facility		$851.14	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,412.54	Professional		$501.19	$724.44	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,548.82	Professional		$1,230.27	$1,348.96	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $2,137.96	Professional		$549.54	$851.14	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $7,244.36	Facility		$691.83	$1,513.56	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,230.27 / $2,041.74	Professional		$660.69	$1,230.27	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,089.30	Professional		$912.01	$1,348.96	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
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 $630.96 / $954.99 / $1,819.70	Professional		$630.96	$954.99	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,348.96	Professional		$891.25	$1,122.02	$1,348.96