Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,090.30 / $6,760.83	Facility		$616.60	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $977.24	Professional		$338.84	$457.09	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $831.76 / $1,148.15	Professional		$363.08	$831.76	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $1,047.13	Professional		$275.42	$467.74	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $954.99 / $3,467.37	Facility		$524.81	$954.99	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $2,630.27	Professional		$446.68	$831.76	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,023.29	Professional		$741.31	$870.96	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
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 $371.54 / $537.03 / $1,071.52	Professional		$371.54	$537.03	$1,071.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $851.14	Professional		$575.44	$724.44	$851.14