Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,981.07 / $6,760.83	Facility		$812.83	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,348.96	Professional		$467.74	$676.08	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,445.44	Professional		$1,148.15	$1,258.93	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,584.89	Professional		$489.78	$758.58	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,019.95 / $8,317.64	Facility		$812.83	$3,019.95	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,096.48 / $1,862.09	Professional		$602.56	$1,096.48	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,905.46	Professional		$1,148.15	$1,258.93	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,445.44	Professional		$1,096.48	$1,096.48	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,570.88 / $8,317.64	Facility		$1,819.70	$4,570.88	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,698.24	Professional		$588.84	$891.25	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,230.27	Professional		$831.76	$1,047.13	$1,230.27