Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,511.89 / $6,760.83	Facility		$257.04	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $426.58	Professional		$151.36	$245.47	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $741.31	Professional		$288.40	$478.63	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $524.81	Professional		$154.88	$302.00	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $3,981.07	Facility		$245.47	$446.68	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $1,348.96	Professional		$263.03	$489.78	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $676.08	Professional		$371.54	$416.87	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $630.96	Professional		$316.23	$489.78	$630.96
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 $169.82 / $295.12 / $602.56	Professional		$169.82	$295.12	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $575.44	Professional		$316.23	$371.54	$575.44