Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.74 / $3,419.00 / $7,089.38	Facility		$285.74	$3,419.00	$7,089.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $248.43 / $762.42	Professional		$128.28	$248.43	$762.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $390.76 / $628.15	Professional		$208.15	$390.76	$628.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $287.74 / $756.69	Professional		$94.09	$287.74	$756.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.42 / $402.28 / $5,056.87	Facility		$195.42	$402.28	$5,056.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.52 / $452.00 / $1,658.00	Professional		$252.52	$452.00	$1,658.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.01 / $472.34 / $2,510.01	Facility		$234.01	$472.34	$2,510.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.01 / $402.28 / $653.36	Professional		$234.01	$402.28	$653.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $4,878.97 / $6,486.14	Facility		$2,679.00	$4,878.97	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $381.22 / $775.61	Professional		$250.17	$381.22	$775.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $215.90 / $490.00	Professional		$183.50	$215.90	$490.00