Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,981.07 / $6,760.83	Facility		$851.14	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,230.27	Professional		$457.09	$575.44	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,412.54	Professional		$630.96	$1,148.15	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $1,174.90	Professional		$354.81	$616.60	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,454.71 / $10,000.00	Facility		$741.31	$2,454.71	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $3,630.78	Professional		$549.54	$977.24	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,288.25	Professional		$794.33	$1,148.15	$1,288.25
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 $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,380.38	Professional		$512.86	$724.44	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,071.52	Professional		$724.44	$1,000.00	$1,071.52