Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,801.89 / $6,760.83	Facility		$380.19	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $812.83	Professional		$223.87	$346.74	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,096.48	Professional		$562.34	$741.31	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $1,445.44	Professional		$234.42	$446.68	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $691.83 / $1,621.81	Facility		$380.19	$691.83	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,148.15	Professional		$380.19	$562.34	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,023.29	Professional		$489.78	$741.31	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,344.23	Facility		$758.58	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $794.33	Professional		$281.84	$416.87	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $794.33	Professional		$457.09	$537.03	$794.33