Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $5,011.87 / $7,943.28	Facility		$281.84	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $489.78	Professional		$162.18	$275.42	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $912.01	Professional		$316.23	$524.81	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $851.14	Professional		$165.96	$354.81	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $478.63 / $1,023.29	Facility		$269.15	$478.63	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $1,621.81	Professional		$281.84	$524.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $741.31	Professional		$407.38	$478.63	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $741.31	Professional		$338.84	$524.81	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $2,344.23	Facility		$602.56	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $660.69	Professional		$181.97	$323.59	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $707.95	Professional		$354.81	$416.87	$707.95