Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,235.94 / $6,760.83	Facility		$954.99	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,659.59	Professional		$602.56	$758.58	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,862.09	Professional		$1,174.90	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $2,754.23	Professional		$549.54	$912.01	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,621.81 / $15,848.93	Facility		$758.58	$1,621.81	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $4,897.79	Professional		$645.65	$1,202.26	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,862.09	Professional		$1,174.90	$1,513.56	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,862.09	Professional		$1,230.27	$1,288.25	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $23,442.29	Facility		$7,413.10	$11,748.98	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,778.28	Professional		$616.60	$891.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,548.82	Professional		$1,047.13	$1,318.26	$1,548.82