Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,370.32 / $7,943.28	Facility		$707.95	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,230.27	Professional		$407.38	$588.84	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,258.93	Professional		$1,023.29	$1,122.02	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $794.33 / $1,548.82	Professional		$436.52	$794.33	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $6,606.93	Facility		$870.96	$1,258.93	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,023.29 / $1,862.09	Professional		$537.03	$1,023.29	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,905.46	Professional		$1,023.29	$1,230.27	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,258.93	Professional		$1,000.00	$1,000.00	$1,258.93
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 $501.19 / $794.33 / $1,445.44	Professional		$501.19	$794.33	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,122.02	Professional		$741.31	$933.25	$1,122.02