Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,090.30 / $6,760.83	Facility		$977.24	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,905.46	Professional		$537.03	$831.76	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,445.44 / $2,187.76	Professional		$645.65	$1,445.44	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,737.80	Professional		$501.19	$831.76	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $6,606.93	Facility		$954.99	$1,862.09	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $4,168.69	Professional		$851.14	$1,479.11	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,995.26	Professional		$1,202.26	$1,445.44	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
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 $602.56 / $954.99 / $1,819.70	Professional		$602.56	$954.99	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,621.81	Professional		$1,047.13	$1,230.27	$1,621.81