Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,090.30 / $6,760.83	Facility		$251.19	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $741.31	Professional		$154.88	$288.40	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $891.25	Professional		$302.00	$562.34	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $354.81 / $758.58	Professional		$147.91	$354.81	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $602.56 / $4,677.35	Facility		$257.04	$602.56	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $1,819.70	Professional		$288.40	$549.54	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $831.76	Professional		$363.08	$645.65	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $831.76	Professional		$309.03	$549.54	$831.76
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 $162.18 / $323.59 / $707.95	Professional		$162.18	$323.59	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $676.08	Professional		$316.23	$371.54	$676.08