Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,951.21 / $6,456.54	Facility		$380.19	$2,951.21	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $1,096.48	Professional		$131.83	$288.40	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $707.95	Professional		$269.15	$446.68	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $575.44	Professional		$128.82	$281.84	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $416.87 / $2,137.96	Facility		$208.93	$416.87	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $1,348.96	Professional		$257.04	$501.19	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $645.65	Professional		$316.23	$416.87	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $602.56	Professional		$257.04	$489.78	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,897.79	Facility		$1,548.82	$2,344.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $616.60	Professional		$141.25	$281.84	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $537.03	Professional		$257.04	$302.00	$537.03