Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $2,511.89 / $6,760.83	Facility		$141.25	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $302.00	Professional		$81.28	$123.03	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $371.54	Professional		$141.25	$263.03	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $380.19	Professional		$89.13	$154.88	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $4,466.84	Facility		$123.03	$239.88	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $794.33	Professional		$117.49	$229.09	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $331.13	Professional		$199.53	$245.47	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $331.13	Professional		$165.96	$204.17	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $281.84	Professional		$91.20	$147.91	$281.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $288.40	Professional		$177.83	$208.93	$288.40