Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,511.89 / $6,760.83	Facility		$144.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $602.56	Professional		$85.11	$128.82	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $338.84	Professional		$213.80	$269.15	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $436.52	Professional		$89.13	$151.36	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $239.88 / $1,621.81	Facility		$114.82	$239.88	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $371.54	Professional		$125.89	$234.42	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $323.59	Professional		$208.93	$257.04	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $295.12	Professional		$102.33	$147.91	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $251.19	Professional		$169.82	$199.53	$251.19