Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,023.29 / $1,479.11	Facility		$416.87	$1,023.29	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $645.65	Professional		$354.81	$436.52	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,288.25	Professional		$776.25	$1,047.13	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $676.08 / $977.24	Professional		$151.36	$676.08	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $1,445.44	Facility		$537.03	$645.65	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $1,230.27	Professional		$323.59	$323.59	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,202.26	Facility		$537.03	$537.03	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $1,174.90	Professional		$323.59	$323.59	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $537.03	Professional		$426.58	$537.03	$537.03