Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $5,370.32 / $7,943.28	Facility		$501.19	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $501.19	Professional		$295.12	$407.38	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $851.14	Professional		$676.08	$794.33	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $489.78 / $1,698.24	Professional		$218.78	$489.78	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $7,079.46	Facility		$602.56	$2,754.23	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,122.02	Professional		$316.23	$549.54	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $794.33 / $4,786.30	Professional		$426.58	$794.33	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,786.30	Professional		$3,467.37	$3,467.37	$4,786.30
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 $288.40 / $436.52 / $851.14	Professional		$288.40	$436.52	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $4,168.69	Professional		$2,754.23	$3,548.13	$4,168.69