Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $6,760.83	Facility		$602.56	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,174.90 / $2,511.89	Professional		$323.59	$1,174.90	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,570.40 / $3,548.13	Professional		$691.83	$2,570.40	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,621.81 / $2,398.83	Professional		$288.40	$1,621.81	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,311.31 / $9,549.93	Facility		$758.58	$3,311.31	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,290.87 / $5,011.87	Professional		$707.95	$2,290.87	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,570.40 / $3,467.37	Professional		$758.58	$2,570.40	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $3,388.44	Professional		$630.96	$831.76	$3,388.44
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 $354.81 / $1,258.93 / $3,467.37	Professional		$354.81	$1,258.93	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $2,818.38	Professional		$616.60	$724.44	$2,818.38