Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.48 / $3,175.00 / $6,446.00	Facility		$401.48	$3,175.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $237.83 / $726.19	Professional		$124.73	$237.83	$726.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.24 / $408.31 / $663.52	Professional		$278.24	$408.31	$663.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $312.87 / $486.45	Professional		$133.41	$312.87	$486.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $409.45 / $1,712.24	Facility		$235.00	$409.45	$1,712.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.17 / $513.24 / $1,688.11	Professional		$265.17	$513.24	$1,688.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $270.68 / $396.82 / $606.50	Facility		$270.68	$396.82	$606.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $414.00 / $664.84	Professional		$292.57	$414.00	$664.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,562.00 / $3,522.00 / $4,938.06	Facility		$1,562.00	$3,522.00	$4,938.06
United Facility/Professional Professional Modifier Low / Median / High Price $252.36 / $385.70 / $718.36	Professional		$252.36	$385.70	$718.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $303.50 / $536.79	Professional		$258.00	$303.50	$536.79