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 $204.17 / $436.52 / $1,148.15	Professional		$204.17	$436.52	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,348.96	Professional		$426.58	$645.65	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $537.03 / $1,202.26	Professional		$208.93	$537.03	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $870.96 / $2,951.21	Facility		$363.08	$870.96	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $912.01 / $3,162.28	Professional		$436.52	$912.01	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $933.25 / $1,288.25	Professional		$489.78	$933.25	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,148.15	Professional		$380.19	$707.95	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,897.79	Facility		$1,621.81	$2,884.03	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $537.03 / $1,288.25	Professional		$257.04	$537.03	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,023.29	Professional		$426.58	$691.83	$1,023.29