Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,511.89 / $6,760.83	Facility		$741.31	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $1,479.11	Professional		$407.38	$562.34	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,000.00 / $1,412.54	Professional		$446.68	$1,000.00	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,698.24	Professional		$338.84	$575.44	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $3,467.37	Facility		$575.44	$1,122.02	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $3,162.28	Professional		$549.54	$1,023.29	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,258.93	Professional		$912.01	$1,047.13	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $4,897.79	Facility		$1,023.29	$1,949.84	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,288.25	Professional		$446.68	$645.65	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,047.13	Professional		$707.95	$891.25	$1,047.13