Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,801.89 / $6,760.83	Facility		$501.19	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,348.96 / $2,454.71	Professional		$323.59	$1,348.96	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $3,235.94 / $4,168.69	Professional		$741.31	$3,235.94	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,862.09 / $2,290.87	Professional		$309.03	$1,862.09	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,467.37 / $9,549.93	Facility		$741.31	$3,467.37	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,290.87 / $5,370.32	Professional		$741.31	$2,290.87	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,454.71 / $3,981.07	Professional		$741.31	$2,454.71	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $3,981.07	Professional		$602.56	$891.25	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $10,232.93	Facility		$4,570.88	$7,413.10	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,288.25 / $3,630.78	Professional		$371.54	$1,288.25	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $3,235.94	Professional		$676.08	$794.33	$3,235.94