Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,090.30 / $6,760.83	Facility		$257.04	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $776.25	Professional		$141.25	$263.03	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $371.54 / $691.83	Professional		$177.83	$371.54	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $537.03	Professional		$134.90	$229.09	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $6,309.57	Facility		$323.59	$537.03	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $1,096.48	Professional		$269.15	$446.68	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $616.60	Professional		$346.74	$512.86	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $7,762.47	Facility		$3,467.37	$5,888.44	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $549.54	Professional		$169.82	$295.12	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $512.86	Professional		$281.84	$331.13	$512.86