Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,090.30 / $6,760.83	Facility		$275.42	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $537.03	Professional		$165.96	$269.15	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $741.31	Professional		$316.23	$512.86	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $954.99	Professional		$165.96	$338.84	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $1,023.29	Facility		$257.04	$467.74	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $1,479.11	Professional		$275.42	$501.19	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $741.31	Professional		$398.11	$478.63	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $741.31	Professional		$346.74	$512.86	$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 / $309.03 / $630.96	Professional		$181.97	$309.03	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $660.69	Professional		$346.74	$407.38	$660.69