Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,348.96 / $1,949.84	Facility		$549.54	$1,348.96	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $851.14	Professional		$467.74	$575.44	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,698.24	Professional		$1,023.29	$1,380.38	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $891.25 / $1,258.93	Professional		$151.36	$891.25	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $1,819.70	Facility		$707.95	$851.14	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,548.82	Professional		$426.58	$426.58	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,584.89	Facility		$707.95	$707.95	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,548.82	Professional		$426.58	$426.58	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $707.95	Professional		$562.34	$707.95	$707.95