Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,258.93	Professional		$1,096.48	$1,096.48	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $371.54	Professional		$229.09	$281.84	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $14,125.38 / $22,908.68	Facility		$616.60	$14,125.38	$22,908.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $18,620.87 / $23,988.33	Facility		$10,715.19	$18,620.87	$23,988.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,585.78 / $7,585.78	Professional		$6,025.60	$7,585.78	$7,585.78