Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,511.89 / $6,760.83	Facility		$234.42	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $389.05	Professional		$134.90	$158.49	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $457.09	Professional		$199.53	$363.08	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $912.01	Professional		$138.04	$194.98	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $1,258.93	Facility		$190.55	$338.84	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $1,122.02	Professional		$144.54	$309.03	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $407.38	Professional		$281.84	$354.81	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $407.38	Professional		$269.15	$275.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $389.05	Professional		$134.90	$204.17	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $354.81	Professional		$239.88	$302.00	$354.81