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 $79.84 / $143.33 / $463.44	Professional		$79.84	$143.33	$463.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.30 / $276.12 / $379.81	Professional		$170.30	$276.12	$379.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $160.37 / $610.59	Professional		$83.84	$160.37	$610.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $248.79 / $2,286.40	Facility		$128.97	$248.79	$2,286.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $287.48 / $591.84	Professional		$163.11	$287.48	$591.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $290.14 / $860.29	Facility		$175.40	$290.14	$860.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $170.30 / $252.78 / $388.86	Professional		$170.30	$252.78	$388.86
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 $149.47 / $228.07 / $427.08	Professional		$149.47	$228.07	$427.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $200.27 / $298.20	Professional		$150.19	$200.27	$298.20