Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $2,912.34 / $7,119.04	Facility		$670.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $217.86 / $521.37	Professional		$97.98	$217.86	$521.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.47 / $370.86 / $771.31	Professional		$202.47	$370.86	$771.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $314.33 / $923.30	Professional		$113.32	$314.33	$923.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.62 / $398.15 / $2,286.40	Facility		$159.62	$398.15	$2,286.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.39 / $448.86 / $1,025.65	Professional		$242.39	$448.86	$1,025.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.99 / $520.49 / $917.51	Facility		$199.99	$520.49	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.99 / $416.48 / $681.52	Professional		$199.99	$416.48	$681.52
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 $246.39 / $375.46 / $703.98	Professional		$246.39	$375.46	$703.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $401.00 / $597.20	Professional		$204.70	$401.00	$597.20