Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,370.32 / $13,489.63	Facility		$426.58	$5,370.32	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $707.95	Professional		$251.19	$346.74	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $758.58	Professional		$616.60	$660.69	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,122.02	Professional		$275.42	$426.58	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $724.44 / $6,606.93	Facility		$346.74	$724.44	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $1,047.13	Professional		$323.59	$616.60	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,071.52	Professional		$467.74	$676.08	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $891.25	Professional		$309.03	$467.74	$891.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $660.69	Professional		$446.68	$562.34	$660.69