Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,786.30 / $7,079.46	Facility		$724.44	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,288.25	Professional		$426.58	$616.60	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,318.26	Professional		$1,071.52	$1,122.02	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,621.81	Professional		$446.68	$691.83	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,570.88 / $9,772.37	Facility		$851.14	$4,570.88	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $1,584.89	Professional		$537.03	$954.99	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,621.81	Professional		$1,047.13	$1,148.15	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,288.25	Professional		$831.76	$831.76	$1,288.25
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 $501.19 / $741.31 / $1,479.11	Professional		$501.19	$741.31	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,148.15	Professional		$758.58	$977.24	$1,148.15