Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $400.40 / $5,549.00	Facility		$157.41	$400.40	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $128.31 / $399.00	Professional		$69.13	$128.31	$399.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $157.77 / $246.39	Professional		$83.61	$157.77	$246.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $110.88 / $210.25	Professional		$54.99	$110.88	$210.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.85 / $147.72 / $1,341.00	Facility		$82.85	$147.72	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $147.72 / $413.28	Professional		$92.87	$147.72	$413.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $160.59 / $233.95	Facility		$123.01	$160.59	$233.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $159.22 / $229.39	Professional		$109.58	$159.22	$229.39
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 $81.26 / $116.09 / $230.57	Professional		$81.26	$116.09	$230.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $117.90 / $180.00	Professional		$100.20	$117.90	$180.00