Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $2,546.00 / $6,298.62	Facility		$128.63	$2,546.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $105.84 / $256.62	Professional		$67.70	$105.84	$256.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $248.92 / $331.12	Professional		$100.50	$248.92	$331.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $157.28 / $299.77	Professional		$41.70	$157.28	$299.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.16 / $289.18 / $4,006.00	Facility		$103.16	$289.18	$4,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $265.39 / $687.00	Professional		$115.92	$265.39	$687.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.76 / $289.18 / $1,207.40	Facility		$102.76	$289.18	$1,207.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $241.83 / $320.56	Professional		$98.98	$241.83	$320.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $272.51 / $410.29	Professional		$131.71	$272.51	$410.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $106.80 / $268.50	Professional		$90.70	$106.80	$268.50