Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.76 / $3,259.25 / $7,119.04	Facility		$1,373.76	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $94.18 / $164.31	Professional		$58.59	$94.18	$164.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.26 / $135.38 / $291.36	Professional	50	$130.26	$135.38	$291.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $184.51 / $280.48	Professional		$121.00	$184.51	$280.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $118.64 / $542.36	Professional		$55.53	$118.64	$542.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.86 / $160.66 / $323.61	Facility		$96.86	$160.66	$323.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $188.84 / $575.00	Professional		$105.42	$188.84	$575.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $184.51 / $256.92	Facility		$130.28	$184.51	$256.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $183.54 / $264.11	Professional		$121.00	$183.54	$264.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $151.30 / $298.41	Professional		$96.25	$151.30	$298.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $148.05 / $220.50	Professional		$114.90	$148.05	$220.50