Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,090.30 / $6,760.83	Facility		$416.87	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $1,412.54	Professional		$245.47	$407.38	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,122.02	Professional		$467.74	$776.25	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $812.83	Professional		$245.47	$457.09	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $4,677.35	Facility		$416.87	$794.33	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,995.26	Professional		$389.05	$758.58	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,023.29	Professional		$575.44	$691.83	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $954.99	Professional		$512.86	$741.31	$954.99
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 $275.42 / $457.09 / $933.25	Professional		$275.42	$457.09	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $851.14	Professional		$512.86	$602.56	$851.14