Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $2,089.30	Facility		$588.84	$1,445.44	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $912.01	Professional		$501.19	$588.84	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,819.70	Professional		$1,096.48	$1,445.44	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $954.99 / $1,380.38	Professional		$151.36	$954.99	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $2,041.74	Facility		$758.58	$912.01	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $1,659.59	Professional		$457.09	$512.86	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,698.24	Facility		$758.58	$758.58	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,659.59	Professional		$457.09	$457.09	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $758.58	Professional		$602.56	$758.58	$758.58