Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.77 / $2,301.00 / $6,066.00	Facility		$276.77	$2,301.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $196.63 / $605.70	Professional		$118.28	$196.63	$605.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $278.52 / $375.92	Professional		$136.97	$278.52	$375.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $167.28 / $300.55	Professional		$88.28	$167.28	$300.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $239.49 / $1,314.20	Facility		$141.81	$239.49	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $246.04 / $721.84	Professional		$135.32	$246.04	$721.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $218.90 / $320.68	Facility		$130.19	$218.90	$320.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.35 / $248.60 / $350.69	Professional		$177.35	$248.60	$350.69
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 $135.32 / $189.05 / $400.47	Professional		$135.32	$189.05	$400.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $204.40 / $272.70	Professional		$173.70	$204.40	$272.70