Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $4,570.88 / $7,079.46	Facility		$436.52	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $776.25	Professional		$239.88	$338.84	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $588.84 / $912.01	Professional		$288.40	$588.84	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $891.25	Professional		$218.78	$371.54	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $741.31 / $3,235.94	Facility		$407.38	$741.31	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $2,754.23	Professional		$354.81	$645.65	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $812.83	Professional		$537.03	$660.69	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $4,897.79	Facility		$1,023.29	$1,949.84	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $776.25	Professional		$275.42	$416.87	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $676.08	Professional		$457.09	$549.54	$676.08