Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,230.27 / $1,778.28	Facility		$489.78	$1,230.27	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $912.01	Professional		$426.58	$549.54	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,548.82	Professional		$912.01	$1,230.27	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,096.48 / $1,148.15	Professional		$549.54	$1,096.48	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $1,621.81	Facility		$645.65	$776.25	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,412.54	Professional		$380.19	$380.19	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,412.54	Facility		$645.65	$645.65	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,412.54	Professional		$380.19	$380.19	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $645.65	Professional		$501.19	$645.65	$645.65