Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $6,606.93 / $12,589.25	Facility		$602.56	$6,606.93	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $446.68	Professional		$251.19	$288.40	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $758.58	Professional		$616.60	$758.58	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $6,606.93 / $7,413.10	Professional		$151.36	$6,606.93	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,888.44 / $10,471.29	Facility		$426.58	$5,888.44	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,659.59	Professional		$316.23	$549.54	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,317.64 / $11,748.98	Facility		$4,677.35	$8,317.64	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $851.14	Professional		$309.03	$426.58	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,137.96	Professional		$1,445.44	$1,819.70	$2,137.96