Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $588.84 / $588.84	Facility		$74.13	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,000.00	Professional		$407.38	$588.84	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $1,047.13 / $1,318.26	Professional		$97.72	$1,047.13	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $776.25 / $1,380.38	Professional		$81.28	$776.25	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,348.96 / $4,897.79	Facility		$457.09	$1,348.96	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,122.02 / $2,344.23	Professional		$467.74	$1,122.02	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $954.99 / $2,137.96	Professional		$131.83	$954.99	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $6,760.83	Facility		$2,951.21	$5,128.61	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,041.74	Professional		$831.76	$1,174.90	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $2,137.96	Professional		$181.97	$213.80	$2,137.96