Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.33 / $416.55 / $6,066.00	Facility		$195.33	$416.55	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $194.20 / $416.55	Professional		$94.07	$194.20	$416.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $151.91 / $295.07	Professional		$111.60	$151.91	$295.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $136.62 / $235.64	Professional		$54.25	$136.62	$235.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.19 / $173.75 / $1,341.00	Facility		$102.19	$173.75	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $167.58 / $433.50	Professional		$110.18	$167.58	$433.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $167.41 / $309.86	Facility		$123.36	$167.41	$309.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $167.41 / $295.07	Professional		$117.57	$167.41	$295.07
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 $99.50 / $157.11 / $314.22	Professional		$99.50	$157.11	$314.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.30 / $238.50	Professional		$95.50	$112.30	$238.50