Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,570.40 / $6,760.83	Facility		$208.93	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $269.15	Professional		$114.82	$128.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $446.68	Professional		$186.21	$295.12	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $575.44	Professional		$120.23	$223.87	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $1,621.81	Facility		$199.53	$323.59	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $1,862.09	Professional		$151.36	$281.84	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $338.84	Professional		$257.04	$323.59	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $338.84	Professional		$269.15	$281.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $389.05	Professional		$138.04	$218.78	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $281.84	Professional		$239.88	$239.88	$281.84