Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,162.28 / $6,760.83	Facility		$676.08	$3,162.28	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,096.48	Professional		$363.08	$524.81	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $912.01 / $1,288.25	Professional		$407.38	$912.01	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,258.93	Professional		$316.23	$524.81	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,148.15 / $6,606.93	Facility		$676.08	$1,148.15	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $2,951.21	Professional		$501.19	$954.99	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,174.90	Professional		$851.14	$977.24	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
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 $416.87 / $602.56 / $1,202.26	Professional		$416.87	$602.56	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $977.24	Professional		$660.69	$831.76	$977.24