Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $6,760.83	Facility		$758.58	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,479.11	Professional		$436.52	$660.69	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,148.15 / $1,778.28	Professional		$512.86	$1,148.15	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,412.54	Professional		$398.11	$645.65	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $6,606.93	Facility		$912.01	$1,479.11	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $3,235.94	Professional		$676.08	$1,174.90	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,584.89	Professional		$977.24	$1,148.15	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
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 $501.19 / $776.25 / $1,445.44	Professional		$501.19	$776.25	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,318.26	Professional		$812.83	$954.99	$1,318.26