Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.35 / $5,549.00 / $7,119.04	Facility		$553.35	$5,549.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $245.01 / $597.66	Professional		$130.29	$245.01	$597.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.29 / $539.03 / $977.77	Professional		$272.29	$539.03	$977.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $430.38 / $551.96	Professional		$128.91	$430.38	$551.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $381.92 / $843.50	Facility		$202.51	$381.92	$843.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.68 / $528.82 / $2,053.13	Professional		$295.68	$528.82	$2,053.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.90 / $350.53 / $790.14	Facility		$171.90	$350.53	$790.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $272.29 / $483.46 / $842.61	Professional		$272.29	$483.46	$842.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $452.46 / $920.57	Professional		$296.93	$452.46	$920.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $325.39 / $758.00	Professional		$276.60	$325.39	$758.00