Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $6,456.54 / $10,471.29	Facility		$602.56	$6,456.54	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,570.88	Professional		$407.38	$1,584.89	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $3,801.89 / $4,786.30	Professional		$851.14	$3,801.89	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $2,187.76 / $4,677.35	Professional		$363.08	$2,187.76	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,786.30 / $27,542.29	Facility		$933.25	$4,786.30	$27,542.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $6,760.83	Professional		$1,023.29	$3,715.35	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $4,073.80 / $5,011.87	Professional		$933.25	$4,073.80	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $4,570.88	Professional		$794.33	$1,023.29	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $30,199.52	Facility		$8,511.38	$13,489.63	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,737.80 / $5,495.41	Professional		$457.09	$1,737.80	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $3,801.89	Professional		$776.25	$912.01	$3,801.89