Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,019.95 / $6,456.54	Facility		$363.08	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $758.58	Professional		$181.97	$251.19	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $741.31	Professional		$295.12	$512.86	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $812.83	Professional		$181.97	$316.23	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $2,951.21	Facility		$269.15	$501.19	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $478.63 / $1,513.56	Professional		$239.88	$478.63	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $645.65	Professional		$426.58	$501.19	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $645.65	Professional		$346.74	$457.09	$645.65
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 $194.98 / $295.12 / $616.60	Professional		$194.98	$295.12	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $588.84	Professional		$371.54	$436.52	$588.84