Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,398.83 / $6,760.83	Facility		$138.04	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $371.54	Professional		$85.11	$144.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $416.87	Professional		$204.17	$302.00	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $316.23	Professional		$91.20	$177.83	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $316.23 / $3,235.94	Facility		$141.25	$316.23	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $478.63	Professional		$165.96	$245.47	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $380.19	Professional		$199.53	$302.00	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,897.79	Facility		$1,318.26	$2,344.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $331.13	Professional		$107.15	$169.82	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $302.00	Professional		$162.18	$190.55	$302.00