Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,511.89 / $6,760.83	Facility		$194.98	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $691.83	Professional		$117.49	$218.78	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $645.65	Professional		$295.12	$501.19	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $1,000.00	Professional		$128.82	$263.03	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $467.74 / $1,778.28	Facility		$218.78	$467.74	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $794.33	Professional		$239.88	$346.74	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $602.56	Professional		$288.40	$478.63	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,398.83	Facility		$1,071.52	$1,698.24	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $478.63	Professional		$151.36	$251.19	$478.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $457.09	Professional		$234.42	$275.42	$457.09