Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $5,370.32 / $7,943.28	Facility		$194.98	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $338.84	Professional		$112.20	$162.18	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $346.74	Professional		$275.42	$309.03	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $436.52	Professional		$123.03	$204.17	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $6,606.93	Facility		$281.84	$346.74	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $645.65	Professional		$158.49	$309.03	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $933.25	Professional		$281.84	$346.74	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $346.74	Professional		$257.04	$257.04	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $446.68	Professional		$141.25	$239.88	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $302.00	Professional		$204.17	$257.04	$302.00