Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,096.48 / $1,584.89	Facility		$446.68	$1,096.48	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $831.76	Professional		$380.19	$489.78	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,380.38	Professional		$831.76	$1,122.02	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,023.29 / $1,230.27	Professional		$489.78	$1,023.29	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $1,548.82	Facility		$575.44	$691.83	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $1,258.93	Professional		$346.74	$575.44	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $741.31	Professional		$691.83	$691.83	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,288.25	Facility		$575.44	$575.44	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $1,258.93	Professional		$346.74	$346.74	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $575.44	Professional		$457.09	$575.44	$575.44