Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $5,011.87 / $7,943.28	Facility		$223.87	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $436.52	Professional		$128.82	$229.09	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $812.83	Professional		$257.04	$416.87	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $616.60	Professional		$131.83	$323.59	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $1,023.29	Facility		$218.78	$407.38	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $1,348.96	Professional		$251.19	$457.09	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $691.83	Professional		$316.23	$489.78	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $691.83	Professional		$257.04	$436.52	$691.83
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 $147.91 / $281.84 / $602.56	Professional		$147.91	$281.84	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $616.60	Professional		$281.84	$331.13	$616.60