Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,370.32 / $7,943.28	Facility		$602.56	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,047.13	Professional		$346.74	$489.78	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,071.52	Professional		$831.76	$954.99	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $1,348.96	Professional		$371.54	$616.60	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $6,606.93	Facility		$776.25	$1,071.52	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $851.14 / $1,621.81	Professional		$457.09	$851.14	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,659.59	Professional		$870.96	$1,071.52	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,071.52	Professional		$812.83	$812.83	$1,071.52
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 $436.52 / $691.83 / $1,258.93	Professional		$436.52	$691.83	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $933.25	Professional		$630.96	$794.33	$933.25