Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,090.30 / $6,760.83	Facility		$870.96	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,737.80	Professional		$489.78	$741.31	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,230.27 / $2,041.74	Professional		$575.44	$1,230.27	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,659.59	Professional		$446.68	$741.31	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,621.81 / $5,888.44	Facility		$831.76	$1,621.81	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $3,715.35	Professional		$794.33	$1,380.38	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,862.09	Professional		$1,148.15	$1,479.11	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,128.61 / $7,244.36	Facility		$3,019.95	$5,128.61	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,698.24	Professional		$549.54	$891.25	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,513.56	Professional		$933.25	$1,096.48	$1,513.56