Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $3,489.13 / $6,446.00	Facility		$603.00	$3,489.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $165.50 / $699.00	Professional		$112.73	$165.50	$699.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $297.52 / $445.06	Professional		$160.59	$297.52	$445.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $197.21 / $362.34	Professional		$109.19	$197.21	$362.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.50 / $289.02 / $1,341.00	Facility		$165.50	$289.02	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $289.02 / $822.48	Professional		$173.59	$289.02	$822.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $252.12 / $420.35	Facility		$171.35	$252.12	$420.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $215.33 / $291.41 / $420.35	Professional		$215.33	$291.41	$420.35
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 $159.13 / $224.65 / $470.91	Professional		$159.13	$224.65	$470.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $233.00 / $327.80	Professional		$198.00	$233.00	$327.80