Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,570.40 / $6,760.83	Facility		$562.34	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $870.96	Professional		$316.23	$380.19	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,096.48	Professional		$616.60	$891.25	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $1,318.26	Professional		$331.13	$489.78	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $891.25 / $3,981.07	Facility		$398.11	$891.25	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $2,691.53	Professional		$338.84	$645.65	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $977.24	Professional		$616.60	$776.25	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $645.65 / $977.24	Professional		$630.96	$645.65	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $4,365.16	Facility		$1,202.26	$2,137.96	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $912.01	Professional		$323.59	$478.63	$912.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $851.14	Professional		$575.44	$724.44	$851.14