Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.57 / $2,563.00 / $6,066.00	Facility		$247.57	$2,563.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $359.36 / $659.95	Professional		$77.50	$359.36	$659.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $864.02 / $1,080.03	Professional		$183.09	$864.02	$1,080.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $478.30 / $633.49	Professional		$123.63	$478.30	$633.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.66 / $920.61 / $5,163.00	Facility		$200.66	$920.61	$5,163.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $297.91 / $297.91 / $297.91	Facility	52	$297.91	$297.91	$297.91
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	53	$74.48	$74.48	$74.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.19 / $896.86 / $1,369.74	Professional		$222.19	$896.86	$1,369.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.35 / $920.61 / $1,236.80	Facility		$199.35	$920.61	$1,236.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $701.83 / $1,131.96	Professional		$179.03	$701.83	$1,131.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.64 / $881.46 / $1,220.41	Professional		$445.64	$881.46	$1,220.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $193.10 / $861.90	Professional		$164.10	$193.10	$861.90