Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,019.95 / $6,456.54	Facility		$602.56	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $380.19 / $1,659.59	Professional		$109.65	$380.19	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $954.99	Professional		$630.96	$776.25	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $2,511.89	Professional		$316.23	$478.63	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $954.99 / $74,131.02	Facility		$549.54	$954.99	$74,131.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility	AS	$14,125.38	$14,125.38	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $741.31 / $13,489.63	Professional		$363.08	$741.31	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $954.99	Professional		$741.31	$831.76	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $912.01	Professional		$691.83	$724.44	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $21,877.62 / $83,176.38	Facility		$13,803.84	$21,877.62	$83,176.38
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $1,023.29	Professional		$338.84	$537.03	$1,023.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,479.11	Professional		$524.81	$660.69	$1,479.11