Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $5,011.87 / $7,943.28	Facility		$165.96	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $407.38	Professional		$100.00	$151.36	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $467.74	Professional		$251.19	$316.23	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $691.83	Professional		$109.65	$199.53	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $354.81 / $3,235.94	Facility		$165.96	$354.81	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $588.84	Professional		$177.83	$288.40	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $426.58	Professional		$245.47	$302.00	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $4,897.79	Facility		$1,348.96	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $363.08	Professional		$128.82	$190.55	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $338.84	Professional		$199.53	$234.42	$338.84