Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,570.88 / $7,079.46	Facility		$707.95	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $1,148.15	Professional		$389.05	$501.19	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $954.99 / $1,318.26	Professional		$426.58	$954.99	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,071.52	Professional		$331.13	$549.54	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $4,677.35	Facility		$691.83	$1,148.15	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $977.24 / $3,019.95	Professional		$512.86	$977.24	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,202.26	Professional		$870.96	$1,000.00	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $6,309.57	Facility		$1,819.70	$3,388.44	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,230.27	Professional		$426.58	$616.60	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,000.00	Professional		$676.08	$851.14	$1,000.00