Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,511.89 / $6,760.83	Facility		$158.49	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $269.15	Professional		$95.50	$117.49	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $323.59	Professional		$234.42	$257.04	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $478.63	Professional		$100.00	$169.82	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $269.15 / $1,621.81	Facility		$147.91	$269.15	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $457.09	Professional		$131.83	$245.47	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $316.23	Professional		$239.88	$257.04	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $309.03	Professional		$117.49	$165.96	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $251.19	Professional		$165.96	$213.80	$251.19