Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,981.07 / $7,244.36	Facility		$562.34	$3,981.07	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $1,584.89	Professional		$323.59	$489.78	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,023.29	Professional		$812.83	$891.25	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,202.26	Professional		$338.84	$549.54	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,570.88 / $9,549.93	Facility		$676.08	$4,570.88	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,348.96	Professional		$416.87	$741.31	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,380.38	Professional		$812.83	$933.25	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $977.24	Professional		$758.58	$758.58	$977.24
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 / $588.84 / $1,148.15	Professional		$389.05	$588.84	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $870.96	Professional		$588.84	$741.31	$870.96