Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,238.72 / $6,456.54	Facility		$134.90	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $104.71 / $269.15	Professional		$41.69	$104.71	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $251.19 / $338.84	Professional		$102.33	$251.19	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $158.49 / $302.00	Professional		$44.67	$158.49	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $309.03 / $4,677.35	Facility		$104.71	$309.03	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $575.44	Professional		$109.65	$239.88	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $281.84 / $309.03	Professional		$109.65	$281.84	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $309.03	Professional		$89.13	$117.49	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,128.61	Facility		$1,819.70	$3,890.45	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $138.04 / $354.81	Professional		$50.12	$138.04	$354.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $269.15	Professional		$91.20	$107.15	$269.15