Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,235.94 / $6,760.83	Facility		$602.56	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $1,071.52	Professional		$380.19	$478.63	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,202.26	Professional		$794.33	$954.99	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,380.38	Professional		$398.11	$588.84	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $5,495.41	Facility		$602.56	$1,148.15	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $3,162.28	Professional		$426.58	$831.76	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,148.15	Professional		$891.25	$977.24	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,148.15	Professional		$831.76	$831.76	$1,148.15
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 $407.38 / $602.56 / $1,202.26	Professional		$407.38	$602.56	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $977.24	Professional		$660.69	$831.76	$977.24