Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,235.94 / $6,760.83	Facility		$831.76	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $2,089.30	Professional		$524.81	$676.08	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,621.81	Professional		$1,071.52	$1,318.26	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,862.09	Professional		$549.54	$851.14	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,288.25 / $2,137.96	Facility		$758.58	$1,288.25	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,148.15 / $4,265.80	Professional		$588.84	$1,148.15	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,584.89	Professional		$1,258.93	$1,412.54	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,584.89	Professional		$1,122.02	$1,122.02	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,698.24	Professional		$562.34	$851.14	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,348.96	Professional		$891.25	$1,148.15	$1,348.96