Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $338.84 / $5,370.32	Facility		$81.28	$338.84	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $117.49 / $354.81	Professional		$52.48	$117.49	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $251.19	Professional		$128.82	$177.83	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $251.19	Professional		$54.95	$104.71	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $181.97 / $1,380.38	Facility		$89.13	$181.97	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $275.42	Professional		$93.33	$144.54	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $229.09	Professional		$123.03	$162.18	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $186.21	Professional		$61.66	$95.50	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $181.97	Professional		$100.00	$117.49	$181.97