Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,801.89 / $7,244.36	Facility		$512.86	$3,801.89	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $588.84 / $1,445.44	Professional		$302.00	$588.84	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,174.90	Professional		$575.44	$912.01	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $588.84 / $1,778.28	Professional		$245.47	$588.84	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $8,912.51	Facility		$616.60	$1,230.27	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,737.80	Professional		$549.54	$1,000.00	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,148.15	Professional		$645.65	$1,023.29	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,318.26	Professional		$707.95	$912.01	$1,318.26
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 $309.03 / $660.69 / $1,348.96	Professional		$309.03	$660.69	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $954.99	Professional		$537.03	$630.96	$954.99