Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.76 / $2,906.00 / $6,298.62	Facility		$237.76	$2,906.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $191.85 / $439.94	Professional		$100.78	$191.85	$439.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $232.76 / $439.22	Professional		$149.05	$232.76	$439.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $174.45 / $268.52	Professional		$77.70	$174.45	$268.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.14 / $254.67 / $5,023.00	Facility		$125.14	$254.67	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $254.69 / $2,596.44	Professional		$168.71	$254.69	$2,596.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.85 / $378.65 / $1,913.58	Facility		$193.85	$378.65	$1,913.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.96 / $263.12 / $414.36	Professional		$174.96	$263.12	$414.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $218.31 / $424.35	Professional		$161.83	$218.31	$424.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $175.80 / $320.20	Professional		$149.40	$175.80	$320.20