Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,230.27 / $1,778.28	Facility		$489.78	$1,230.27	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $776.25	Professional		$426.58	$512.86	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $831.76	Professional		$676.08	$776.25	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $794.33 / $1,122.02	Professional		$151.36	$794.33	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $1,621.81	Facility		$645.65	$776.25	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,412.54	Professional		$380.19	$380.19	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,412.54	Facility		$645.65	$645.65	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,412.54	Professional		$380.19	$380.19	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $645.65	Professional		$501.19	$645.65	$645.65