Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,290.87 / $6,760.83	Facility		$131.83	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $346.74	Professional		$57.54	$100.00	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $288.40 / $549.54	Professional	50	$128.82	$288.40	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $288.40	Professional		$120.23	$169.82	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $549.54	Professional		$60.26	$117.49	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $162.18 / $1,348.96	Facility		$89.13	$162.18	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $575.44	Professional		$100.00	$186.21	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $257.04	Professional		$128.82	$186.21	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $245.47	Professional		$120.23	$186.21	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $251.19	Professional		$64.57	$117.49	$251.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $218.78	Professional		$114.82	$147.91	$218.78