Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $5,011.87 / $7,943.28	Facility		$257.04	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $489.78	Professional		$151.36	$263.03	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $891.25	Professional		$295.12	$489.78	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $363.08 / $794.33	Professional		$154.88	$363.08	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $426.58 / $1,023.29	Facility		$199.53	$426.58	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $1,513.56	Professional		$281.84	$501.19	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $776.25	Professional		$380.19	$562.34	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $776.25	Professional		$323.59	$489.78	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $2,344.23	Facility		$354.81	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $676.08	Professional		$169.82	$316.23	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $691.83	Professional		$331.13	$389.05	$691.83