Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.16 / $1,114.98 / $5,549.00	Facility		$301.16	$1,114.98	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $228.45 / $746.88	Professional		$111.29	$228.45	$746.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.62 / $306.77 / $441.17	Professional		$148.62	$306.77	$441.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $185.70 / $341.01	Professional		$95.81	$185.70	$341.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.51 / $256.14 / $1,314.20	Facility		$158.51	$256.14	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $262.39 / $791.12	Professional		$157.13	$262.39	$791.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $239.48 / $376.09	Facility		$165.60	$239.48	$376.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $284.55 / $409.82	Professional		$186.08	$284.55	$409.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $214.37 / $376.79	Professional		$156.28	$214.37	$376.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $223.20 / $317.39	Professional		$189.70	$223.20	$317.39