Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,511.89 / $6,760.83	Facility		$229.09	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $537.03	Professional		$131.83	$257.04	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	50	$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $645.65	Professional		$169.82	$338.84	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $501.19	Professional		$120.23	$213.80	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $4,677.35	Facility		$288.40	$501.19	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $977.24	Professional		$245.47	$416.87	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $588.84	Professional		$309.03	$446.68	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $6,309.57	Facility		$1,819.70	$3,388.44	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $524.81	Professional		$151.36	$269.15	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $478.63	Professional		$251.19	$295.12	$478.63