Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,511.89 / $6,760.83	Facility		$112.20	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $380.19	Professional		$75.86	$120.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $346.74	Professional		$147.91	$223.87	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $323.59	Professional		$77.62	$151.36	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $1,380.38	Facility		$112.20	$213.80	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $588.84	Professional		$114.82	$218.78	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $323.59	Professional		$186.21	$257.04	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $223.87 / $407.38	Professional		$218.78	$223.87	$407.38
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 $85.11 / $141.25 / $295.12	Professional		$85.11	$141.25	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $275.42	Professional		$154.88	$186.21	$275.42