Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,511.89 / $6,760.83	Facility		$371.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $831.76	Professional		$208.93	$288.40	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $501.19 / $707.95	Professional		$229.09	$501.19	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $707.95	Professional		$173.78	$302.00	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $575.44 / $1,513.56	Facility		$363.08	$575.44	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $1,584.89	Professional		$275.42	$537.03	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $645.65	Professional		$478.63	$537.03	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,202.26 / $2,344.23	Facility		$588.84	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $660.69	Professional		$229.09	$338.84	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $549.54	Professional		$363.08	$467.74	$549.54