Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,981.07 / $6,760.83	Facility		$199.53	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $346.74	Professional		$114.82	$165.96	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $354.81	Professional		$281.84	$316.23	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $489.78	Professional		$125.89	$223.87	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $7,762.47 / $14,791.08	Facility		$275.42	$7,762.47	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $537.03	Professional		$154.88	$288.40	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $549.54	Professional		$288.40	$354.81	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $354.81	Professional		$295.12	$295.12	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,481.54 / $15,135.61	Facility		$7,244.36	$11,481.54	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $416.87	Professional		$144.54	$229.09	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $316.23	Professional		$208.93	$269.15	$316.23