Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,235.94 / $6,760.83	Facility		$630.96	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,148.15	Professional		$398.11	$501.19	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,288.25	Professional		$724.44	$1,023.29	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,318.26	Professional		$346.74	$602.56	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,047.13 / $5,495.41	Facility		$537.03	$1,047.13	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $3,311.31	Professional		$416.87	$758.58	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,230.27	Professional		$724.44	$954.99	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,174.90	Professional		$741.31	$741.31	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $6,456.54	Facility		$2,818.38	$5,011.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,174.90	Professional		$389.05	$562.34	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,071.52	Professional		$707.95	$912.01	$1,071.52