Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,235.94 / $6,760.83	Facility		$251.19	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $436.52	Professional		$158.49	$204.17	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $501.19	Professional		$295.12	$398.11	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $512.86	Professional		$165.96	$257.04	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $1,949.84	Facility		$218.78	$389.05	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $1,318.26	Professional		$181.97	$331.13	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $478.63	Professional		$346.74	$416.87	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $478.63	Professional		$295.12	$295.12	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $512.86	Professional		$173.78	$257.04	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $407.38	Professional		$275.42	$346.74	$407.38