Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.90 / $684.25 / $3,666.78	Facility		$171.90	$684.25	$3,666.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $119.78 / $369.98	Professional		$55.96	$119.78	$369.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $170.43 / $319.24	Professional		$93.52	$170.43	$319.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $135.21 / $229.03	Professional		$60.14	$135.21	$229.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $238.08 / $1,341.00	Facility		$88.18	$238.08	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.25 / $184.42 / $629.00	Professional		$112.25	$184.42	$629.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.40 / $279.23 / $428.78	Facility		$137.40	$279.23	$428.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $175.77 / $319.24	Professional		$125.00	$175.77	$319.24
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 $96.51 / $177.24 / $289.49	Professional		$96.51	$177.24	$289.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $126.90 / $269.89	Professional		$107.90	$126.90	$269.89