Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.56 / $2,912.34 / $7,119.04	Facility		$369.56	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $168.65 / $471.20	Professional		$118.14	$168.65	$471.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $274.39 / $337.93	Professional		$206.17	$274.39	$337.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $471.57 / $878.39 / $1,129.98	Professional		$471.57	$878.39	$1,129.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.62 / $287.26 / $6,338.00	Facility		$193.62	$287.26	$6,338.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $239.01 / $1,149.14	Professional		$131.03	$239.01	$1,149.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $274.39 / $373.39	Facility		$190.00	$274.39	$373.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $274.39 / $373.39	Professional		$173.00	$274.39	$373.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,405.00 / $9,874.90	Facility		$4,700.00	$7,405.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $189.94 / $356.13	Professional		$124.65	$189.94	$356.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $220.80 / $259.70	Professional		$174.43	$220.80	$259.70