Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.31 / $2,234.00 / $6,298.62	Facility		$308.31	$2,234.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $183.64 / $460.71	Professional		$106.44	$183.64	$460.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.24 / $318.45 / $481.09	Professional		$228.24	$318.45	$481.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $223.29 / $673.01	Professional		$113.38	$223.29	$673.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.06 / $317.50 / $1,724.14	Facility		$171.06	$317.50	$1,724.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.64 / $344.93 / $1,234.57	Professional		$187.64	$344.93	$1,234.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $246.71 / $402.03 / $699.52	Facility		$246.71	$402.03	$699.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.45 / $339.16 / $458.08	Professional		$232.45	$339.16	$458.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $251.32 / $492.90	Professional		$168.00	$251.32	$492.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $255.90 / $379.00	Professional		$217.60	$255.90	$379.00