Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $5,011.87 / $7,943.28	Facility		$218.78	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $436.52	Professional		$128.82	$218.78	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $660.69	Professional		$257.04	$407.38	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $501.19	Professional		$131.83	$269.15	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $3,981.07	Facility		$199.53	$389.05	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $1,230.27	Professional		$213.80	$416.87	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $549.54	Professional		$323.59	$467.74	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $549.54	Professional		$263.03	$389.05	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,370.32	Facility		$1,819.70	$3,890.45	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $512.86	Professional		$147.91	$251.19	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $512.86	Professional		$281.84	$331.13	$512.86