Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.16 / $2,352.00 / $6,298.62	Facility		$765.16	$2,352.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $223.69 / $666.00	Professional		$104.51	$223.69	$666.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $198.67 / $310.67	Professional		$129.97	$198.67	$310.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $148.21 / $276.77	Professional		$71.23	$148.21	$276.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.09 / $253.72 / $1,341.00	Facility		$110.09	$253.72	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $236.78 / $535.12	Professional		$132.13	$236.78	$535.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.67 / $240.91 / $356.39	Facility		$177.67	$240.91	$356.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $240.91 / $351.43	Professional		$158.66	$240.91	$351.43
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 $121.13 / $176.19 / $358.47	Professional		$121.13	$176.19	$358.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $152.10 / $230.90	Professional		$129.19	$152.10	$230.90