Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.53 / $4,410.47 / $7,119.04	Facility		$999.53	$4,410.47	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.55 / $1,566.47 / $2,550.03	Professional		$369.55	$1,566.47	$2,550.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.81 / $922.26 / $4,182.79	Professional		$737.81	$922.26	$4,182.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $317.10 / $1,687.97 / $2,412.80	Professional		$317.10	$1,687.97	$2,412.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.15 / $3,377.10 / $8,400.95	Facility		$810.15	$3,377.10	$8,400.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $906.75 / $3,357.64 / $5,721.83	Professional		$906.75	$3,357.64	$5,721.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $815.26 / $2,780.21 / $4,157.49	Facility		$815.26	$2,780.21	$4,157.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $737.98 / $2,717.51 / $4,336.80	Professional		$737.98	$2,717.51	$4,336.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,055.75 / $7,059.62 / $10,320.00	Facility		$4,055.75	$7,059.62	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,705.69 / $3,357.64 / $4,909.43	Professional		$1,705.69	$3,357.64	$4,909.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.60 / $796.00 / $3,359.80	Professional		$676.60	$796.00	$3,359.80