Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $831.76 / $5,888.44	Facility		$194.98	$831.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $588.84	Professional		$100.00	$218.78	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $389.05	Professional		$229.09	$281.84	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $323.59	Professional		$89.13	$158.49	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $1,380.38	Facility		$144.54	$275.42	$1,380.38
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	52	$354.81	$354.81	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $398.11	Professional		$125.89	$239.88	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $346.74	Professional		$213.80	$257.04	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,344.23	Facility		$758.58	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $295.12	Professional		$104.71	$154.88	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $275.42	Professional		$173.78	$204.17	$275.42