Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $186.75 / $219.54	Facility		$59.49	$186.75	$219.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $61.11 / $98.29	Professional		$31.17	$61.11	$98.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $111.00 / $191.85	Professional		$72.79	$111.00	$191.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $90.27 / $152.80	Professional		$32.63	$90.27	$152.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.19 / $98.29 / $661.20	Facility		$52.19	$98.29	$661.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $120.82 / $456.28	Professional		$65.75	$120.82	$456.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $95.16 / $161.56	Facility		$69.78	$95.16	$161.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $111.00 / $163.93	Professional		$72.79	$111.00	$163.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $93.78 / $174.66	Professional		$61.54	$93.78	$174.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $75.50 / $151.80	Professional		$64.20	$75.50	$151.80