Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,090.30 / $6,760.83	Facility		$588.84	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $1,548.82	Professional		$380.19	$478.63	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,202.26	Professional		$741.31	$977.24	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $1,659.59	Professional		$363.08	$588.84	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,047.13 / $42,657.95	Facility		$524.81	$1,047.13	$42,657.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $812.83 / $8,511.38	Professional		$389.05	$812.83	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,122.02	Professional		$794.33	$933.25	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,122.02	Professional		$645.65	$812.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $21,877.62 / $48,977.88	Facility		$13,803.84	$21,877.62	$48,977.88
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,148.15	Professional		$389.05	$575.44	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,202.26	Professional		$676.08	$870.96	$1,202.26