Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.17 / $2,834.13 / $6,446.00	Facility		$478.17	$2,834.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $207.44 / $582.00	Professional		$93.40	$207.44	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.99 / $170.20 / $284.37	Professional		$111.99	$170.20	$284.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $135.69 / $243.08	Professional		$61.52	$135.69	$243.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.40 / $203.65 / $1,341.00	Facility		$93.40	$203.65	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $210.62 / $458.40	Professional		$116.26	$210.62	$458.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $219.00 / $321.04	Facility		$152.16	$219.00	$321.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $219.00 / $313.91	Professional		$137.54	$219.00	$313.91
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 $105.90 / $155.96 / $315.37	Professional		$105.90	$155.96	$315.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $131.80 / $211.30	Professional		$112.10	$131.80	$211.30