Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.84 / $2,293.00 / $6,066.00	Facility		$398.84	$2,293.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.06 / $273.00 / $690.93	Professional		$158.06	$273.00	$690.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $312.61 / $534.66	Professional		$180.02	$312.61	$534.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $224.73 / $471.20	Professional		$109.33	$224.73	$471.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.06 / $354.76 / $1,607.00	Facility		$202.06	$354.76	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.65 / $332.24 / $978.00	Professional		$202.65	$332.24	$978.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.73 / $285.08 / $456.41	Facility		$193.73	$285.08	$456.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $341.84 / $553.77	Professional		$234.72	$341.84	$553.77
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 $201.83 / $268.58 / $547.42	Professional		$201.83	$268.58	$547.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $230.20 / $385.70	Professional		$195.60	$230.20	$385.70