Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $5,370.32 / $7,943.28	Facility		$724.44	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,258.93	Professional		$467.74	$575.44	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,479.11	Professional		$891.25	$1,174.90	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,621.81	Professional		$436.52	$707.95	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $5,248.07	Facility		$645.65	$1,148.15	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $6,309.57	Professional		$512.86	$933.25	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,412.54	Professional		$891.25	$1,148.15	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,412.54	Professional		$977.24	$977.24	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,412.54	Professional		$489.78	$707.95	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,202.26	Professional		$812.83	$1,023.29	$1,202.26