Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,090.30 / $6,760.83	Facility		$616.60	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,202.26	Professional		$346.74	$537.03	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $977.24 / $1,548.82	Professional		$416.87	$977.24	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,318.26	Professional		$316.23	$524.81	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,288.25 / $6,606.93	Facility		$630.96	$1,288.25	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $2,630.27	Professional		$588.84	$977.24	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,412.54	Professional		$794.33	$1,023.29	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $7,762.47	Facility		$3,467.37	$5,888.44	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,230.27	Professional		$389.05	$630.96	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,148.15	Professional		$660.69	$776.25	$1,148.15