Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,290.87 / $6,456.54	Facility		$602.56	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $630.96 / $1,819.70	Professional		$316.23	$630.96	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,570.40	Professional		$707.95	$1,148.15	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $977.24 / $2,041.74	Professional		$371.54	$977.24	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,230.27 / $5,370.32	Facility		$489.78	$1,230.27	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $3,630.78	Professional		$616.60	$1,148.15	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,089.30	Professional		$794.33	$1,348.96	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,621.81	Professional		$645.65	$1,071.52	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,413.10	Facility		$3,019.95	$5,370.32	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $707.95 / $1,584.89	Professional		$363.08	$707.95	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,041.74	Professional		$831.76	$1,288.25	$2,041.74