Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,090.30 / $6,760.83	Facility		$398.11	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $1,202.26	Professional		$177.83	$354.81	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $776.25	Professional		$407.38	$537.03	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $676.08	Professional		$169.82	$323.59	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $616.60 / $5,128.61	Facility		$302.00	$616.60	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $831.76	Professional		$302.00	$457.09	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $707.95	Professional		$407.38	$489.78	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $616.60	Professional		$208.93	$316.23	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $549.54	Professional		$331.13	$389.05	$549.54