Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,290.87 / $6,760.83	Facility		$363.08	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $707.95	Professional		$208.93	$331.13	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $562.34 / $831.76	Professional		$245.47	$562.34	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $1,096.48	Professional		$186.21	$309.03	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $691.83 / $3,235.94	Facility		$380.19	$691.83	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $1,548.82	Professional		$338.84	$588.84	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $724.44	Professional		$501.19	$616.60	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
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 $245.47 / $389.05 / $707.95	Professional		$245.47	$389.05	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $616.60	Professional		$389.05	$457.09	$616.60