Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,862.09 / $5,370.32	Facility		$169.82	$1,862.09	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $371.54	Professional		$75.86	$162.18	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $446.68	Professional		$190.55	$239.88	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $380.19	Professional		$77.62	$173.78	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $354.81 / $5,248.07	Facility		$154.88	$354.81	$5,248.07
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 $181.97 / $288.40 / $416.87	Professional		$181.97	$288.40	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,388.44 / $6,309.57	Facility		$1,348.96	$3,388.44	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $338.84	Professional		$97.72	$169.82	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $323.59	Professional		$147.91	$177.83	$323.59