Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.25 / $1,576.43 / $5,549.00	Facility		$316.25	$1,576.43	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $167.42 / $503.00	Professional		$111.95	$167.42	$503.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $321.38 / $410.00	Professional		$233.64	$321.38	$410.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $204.63 / $432.53	Professional		$113.34	$204.63	$432.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.36 / $289.22 / $758.10	Facility		$161.36	$289.22	$758.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $289.22 / $873.60	Professional		$153.74	$289.22	$873.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $270.02 / $405.06	Facility		$116.70	$270.02	$405.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.05 / $323.32 / $411.65	Professional		$222.05	$323.32	$411.65
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 $144.38 / $220.02 / $412.53	Professional		$144.38	$220.02	$412.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.21 / $280.10 / $347.30	Professional		$233.21	$280.10	$347.30