Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,398.83 / $6,760.83	Facility		$123.03	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $436.52	Professional		$75.86	$128.82	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $346.74	Professional		$134.90	$213.80	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $446.68	Professional		$77.62	$144.54	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $1,148.15	Facility		$120.23	$208.93	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $588.84	Professional		$109.65	$194.98	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $316.23	Professional		$169.82	$213.80	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $316.23	Professional		$144.54	$190.55	$316.23
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 $79.43 / $131.83 / $263.03	Professional		$79.43	$131.83	$263.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $269.15	Professional		$154.88	$181.97	$269.15