Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,511.89 / $6,760.83	Facility		$154.88	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $724.44	Professional		$102.33	$162.18	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $501.19 / $691.83 / $1,737.80	Professional	50	$501.19	$691.83	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $467.74	Professional		$213.80	$309.03	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $501.19	Professional		$107.15	$194.98	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $331.13 / $2,290.87	Facility		$162.18	$331.13	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $794.33	Professional		$169.82	$323.59	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $436.52	Professional		$251.19	$363.08	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $707.95	Professional		$288.40	$346.74	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,897.79	Facility		$1,513.56	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $426.58	Professional		$114.82	$213.80	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $363.08	Professional		$208.93	$245.47	$363.08