Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,352.00 / $2,563.00 / $5,549.00	Facility		$2,352.00	$2,563.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $116.94 / $188.88	Professional		$75.56	$116.94	$188.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $189.76 / $303.27	Professional		$121.21	$189.76	$303.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $151.99 / $268.79	Professional		$90.50	$151.99	$268.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.26 / $188.67 / $319.99	Facility		$97.26	$188.67	$319.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $262.12 / $839.44	Professional		$127.55	$262.12	$839.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.05 / $216.91 / $328.68	Facility		$177.05	$216.91	$328.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $210.20 / $311.75	Professional		$173.51	$210.20	$311.75
United Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $237.03 / $308.85	Professional		$114.04	$237.03	$308.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $161.60 / $255.90	Professional		$137.30	$161.60	$255.90