Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,290.87 / $6,456.54	Facility		$234.42	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $524.81	Professional		$93.33	$158.49	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $467.74	Professional		$199.53	$302.00	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $660.69	Professional		$117.49	$194.98	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $338.84 / $2,951.21	Facility		$162.18	$338.84	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $741.31	Professional		$165.96	$309.03	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $436.52	Professional		$234.42	$331.13	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $616.60	Professional		$251.19	$331.13	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,897.79	Facility		$1,513.56	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $426.58	Professional		$107.15	$199.53	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $363.08	Professional		$190.55	$239.88	$363.08