Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,047.13	Professional		$691.83	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $912.01	Professional		$812.83	$812.83	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $3,388.44 / $4,265.80	Professional		$151.36	$3,388.44	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,737.80	Facility		$794.33	$1,047.13	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,479.11	Professional		$794.33	$870.96	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $912.01	Professional		$812.83	$812.83	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,621.81	Facility		$707.95	$1,230.27	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $457.09	Professional		$363.08	$457.09	$457.09