Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,801.89 / $7,943.28	Facility		$602.56	$3,801.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,380.38 / $6,309.57	Professional		$354.81	$1,380.38	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $3,388.44 / $4,265.80	Professional		$758.58	$3,388.44	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,698.24 / $2,511.89	Professional		$316.23	$1,698.24	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,715.35 / $8,912.51	Facility		$831.76	$3,715.35	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,884.03 / $5,495.41	Professional		$912.01	$2,884.03	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $3,548.13 / $4,168.69	Professional		$831.76	$3,548.13	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $4,073.80	Professional		$724.44	$912.01	$4,073.80
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 $407.38 / $1,479.11 / $4,466.84	Professional		$407.38	$1,479.11	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $3,388.44	Professional		$676.08	$794.33	$3,388.44