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 $338.84 / $1,174.90 / $2,137.96	Professional		$338.84	$1,174.90	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,884.03 / $3,630.78	Professional		$707.95	$2,884.03	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,479.11 / $2,884.03	Professional		$316.23	$1,479.11	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,548.13 / $8,912.51	Facility		$794.33	$3,548.13	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,691.53 / $5,011.87	Professional		$891.25	$2,691.53	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $3,019.95 / $3,801.89	Professional		$794.33	$3,019.95	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $3,467.37	Professional		$724.44	$891.25	$3,467.37
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 $389.05 / $1,318.26 / $4,073.80	Professional		$389.05	$1,318.26	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $2,884.03	Professional		$676.08	$794.33	$2,884.03