Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,570.40 / $6,760.83	Facility		$331.13	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $478.63	Professional		$177.83	$229.09	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $562.34	Professional		$263.03	$446.68	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $794.33	Professional		$141.25	$234.42	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,454.71 / $10,000.00	Facility		$288.40	$2,454.71	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $1,445.44	Professional		$218.78	$389.05	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $501.19	Professional		$338.84	$446.68	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $549.54	Professional		$199.53	$295.12	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $426.58	Professional		$288.40	$398.11	$426.58