Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,570.40 / $6,760.83	Facility		$776.25	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,380.38	Professional		$489.78	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,548.82	Professional		$933.25	$1,230.27	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $3,090.30	Professional		$457.09	$812.83	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,137.96 / $5,888.44	Facility		$776.25	$2,137.96	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,258.93 / $14,125.38	Professional		$575.44	$1,258.93	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,754.23	Professional		$1,122.02	$1,288.25	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,548.82	Professional		$851.14	$933.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $6,456.54	Facility		$2,818.38	$5,011.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,862.09	Professional		$512.86	$831.76	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,318.26	Professional		$891.25	$1,122.02	$1,318.26