Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,090.30 / $6,760.83	Facility		$676.08	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $1,122.02	Professional		$371.54	$501.19	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $977.24 / $1,318.26	Professional		$416.87	$977.24	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $1,318.26	Professional		$323.59	$537.03	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,174.90 / $5,888.44	Facility		$676.08	$1,174.90	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $977.24 / $2,951.21	Professional		$512.86	$977.24	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,202.26	Professional		$851.14	$977.24	$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 $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 $416.87 / $602.56 / $1,202.26	Professional		$416.87	$602.56	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,000.00	Professional		$676.08	$851.14	$1,000.00