Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,290.87 / $6,456.54	Facility		$380.19	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $245.47 / $645.65	Professional		$97.72	$245.47	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $794.33	Professional		$204.17	$309.03	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $316.23 / $933.25	Professional		$125.89	$316.23	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $489.78 / $2,951.21	Facility		$169.82	$489.78	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $1,023.29	Professional		$229.09	$436.52	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $676.08	Professional		$229.09	$436.52	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $831.76	Professional		$263.03	$436.52	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,897.79	Facility		$1,621.81	$2,884.03	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $616.60	Professional		$107.15	$251.19	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $602.56	Professional		$204.17	$398.11	$602.56