Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,235.94 / $6,456.54	Facility		$812.83	$3,235.94	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,000.00 / $4,466.84	Professional		$398.11	$1,000.00	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,137.96 / $6,606.93	Professional		$812.83	$2,137.96	$6,606.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $2,089.30 / $3,715.35	Professional		$389.05	$2,089.30	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,311.31 / $14,791.08	Facility		$676.08	$3,311.31	$14,791.08
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	53	$380.19	$380.19	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $8,511.38	Professional		$1,023.29	$2,630.27	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $5,623.41	Professional		$794.33	$1,380.38	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,570.40 / $2,570.40	Professional		$831.76	$2,570.40	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $16,982.44	Facility		$8,511.38	$11,748.98	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,348.96 / $4,466.84	Professional		$426.58	$1,348.96	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,862.09 / $5,011.87	Professional		$794.33	$1,862.09	$5,011.87