Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,248.07 / $7,943.28	Facility		$812.83	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,513.56	Professional		$512.86	$660.69	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,778.28	Professional		$1,071.52	$1,412.54	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $3,019.95	Professional		$524.81	$851.14	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,513.56 / $6,606.93	Facility		$812.83	$1,513.56	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $8,317.64	Professional		$575.44	$1,122.02	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,513.56	Professional		$1,122.02	$1,348.96	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,513.56	Professional		$1,071.52	$1,148.15	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $9,772.37	Facility		$3,715.35	$6,309.57	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,621.81	Professional		$562.34	$831.76	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,380.38	Professional		$912.01	$1,174.90	$1,380.38