Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,760.83 / $8,317.64	Facility		$851.14	$6,760.83	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $2,570.40	Professional		$575.44	$758.58	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,584.89	Professional		$1,258.93	$1,513.56	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $3,630.78	Professional		$602.56	$912.01	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $12,302.69 / $44,668.36	Facility		$1,202.26	$12,302.69	$44,668.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $2,398.83	Professional		$741.31	$1,288.25	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,511.89	Professional		$1,288.25	$1,513.56	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $19,054.61 / $47,863.01	Facility		$9,772.37	$19,054.61	$47,863.01
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,949.84	Professional		$724.44	$1,000.00	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,513.56	Professional		$1,023.29	$1,288.25	$1,513.56