Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.89 / $2,991.00 / $6,298.62	Facility		$268.89	$2,991.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $151.52 / $499.00	Professional		$111.98	$151.52	$499.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $261.97 / $457.72	Professional		$155.02	$261.97	$457.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $179.41 / $344.88	Professional		$86.92	$179.41	$344.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.53 / $248.33 / $5,023.00	Facility		$141.53	$248.33	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $279.52 / $3,179.06	Professional		$179.38	$279.52	$3,179.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.21 / $227.29 / $425.15	Facility		$143.21	$227.29	$425.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.09 / $288.85 / $428.04	Professional		$201.09	$288.85	$428.04
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 $164.43 / $224.22 / $405.50	Professional		$164.43	$224.22	$405.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $195.30 / $332.00	Professional		$166.00	$195.30	$332.00