Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,290.87 / $6,760.83	Facility		$263.03	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $141.25 / $302.00	Professional		$57.54	$141.25	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $446.68	Professional		$89.13	$208.93	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $208.93 / $389.05	Professional		$61.66	$208.93	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $281.84 / $1,202.26	Facility		$117.49	$281.84	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $2,951.21	Professional		$158.49	$316.23	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $416.87	Professional		$151.36	$281.84	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $416.87	Professional		$114.82	$257.04	$416.87
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 $72.44 / $165.96 / $407.38	Professional		$72.44	$165.96	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $338.84	Professional		$117.49	$144.54	$338.84