Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,912.34 / $7,119.04	Facility		$603.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $187.96 / $463.44	Professional		$78.81	$187.96	$463.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.64 / $241.52 / $522.00	Professional		$182.64	$241.52	$522.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $256.58 / $498.67	Professional		$88.07	$256.58	$498.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $327.64 / $1,724.14	Facility		$139.22	$327.64	$1,724.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $372.23 / $1,330.35	Professional		$187.65	$372.23	$1,330.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.50 / $409.03 / $699.52	Facility		$204.50	$409.03	$699.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.21 / $333.74 / $476.30	Professional		$187.21	$333.74	$476.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,562.00 / $3,522.00 / $4,938.06	Facility		$1,562.00	$3,522.00	$4,938.06
United Facility/Professional Professional Modifier Low / Median / High Price $179.12 / $272.94 / $518.51	Professional		$179.12	$272.94	$518.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $284.95 / $424.30	Professional		$180.30	$284.95	$424.30