Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $2,912.34 / $7,119.04	Facility		$744.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.84 / $253.39 / $579.29	Professional		$163.84	$253.39	$579.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.47 / $463.61 / $604.78	Professional		$341.47	$463.61	$604.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $302.18 / $772.53	Professional		$178.04	$302.18	$772.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.39 / $463.61 / $1,970.00	Facility		$253.39	$463.61	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $463.61 / $1,600.33	Professional		$229.90	$463.61	$1,600.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $391.55 / $542.27 / $917.51	Facility		$391.55	$542.27	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $341.47 / $463.61 / $604.66	Professional		$341.47	$463.61	$604.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,562.00 / $3,522.00 / $4,938.06	Facility		$1,562.00	$3,522.00	$4,938.06
United Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $333.45 / $599.73	Professional		$209.91	$333.45	$599.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $406.20 / $480.90	Professional		$322.95	$406.20	$480.90