Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,511.89 / $6,760.83	Facility		$288.40	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $588.84	Professional		$165.96	$263.03	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $758.58	Professional		$194.98	$407.38	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $1,023.29	Professional		$147.91	$257.04	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $549.54 / $1,380.38	Facility		$309.03	$549.54	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $1,230.27	Professional		$288.40	$501.19	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $707.95	Professional		$389.05	$549.54	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
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 $190.55 / $316.23 / $602.56	Professional		$190.55	$316.23	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $562.34	Professional		$309.03	$363.08	$562.34