Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,248.07 / $7,943.28	Facility		$426.58	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $676.08	Professional		$245.47	$309.03	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $758.58	Professional		$489.78	$602.56	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $1,288.25	Professional		$251.19	$389.05	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $1,949.84	Facility		$426.58	$660.69	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $3,467.37	Professional		$288.40	$549.54	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $724.44	Professional		$602.56	$660.69	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $549.54 / $724.44	Professional		$537.03	$549.54	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $776.25	Professional		$275.42	$416.87	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $616.60	Professional		$416.87	$524.81	$616.60