Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,981.07 / $6,760.83	Facility		$346.74	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $602.56	Professional		$204.17	$295.12	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $645.65	Professional		$512.86	$562.34	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $1,047.13	Professional		$218.78	$346.74	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,019.95 / $8,317.64	Facility		$457.09	$3,019.95	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $933.25	Professional		$275.42	$501.19	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $954.99	Professional		$512.86	$616.60	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $616.60	Professional		$512.86	$512.86	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,570.88 / $8,317.64	Facility		$1,819.70	$4,570.88	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $724.44	Professional		$251.19	$389.05	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $549.54	Professional		$371.54	$467.74	$549.54