Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.31 / $139.44 / $273.37	Professional		$98.31	$139.44	$273.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $234.63 / $332.09	Professional		$118.43	$234.63	$332.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $145.54 / $291.95	Professional		$91.55	$145.54	$291.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $285.45 / $1,371.00	Facility		$181.00	$285.45	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $250.52 / $818.01	Professional		$132.46	$250.52	$818.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $250.36 / $311.75	Facility		$181.00	$250.36	$311.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $250.36 / $340.45	Professional		$181.00	$250.36	$340.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $176.61 / $331.14	Professional		$121.42	$176.61	$331.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $216.90 / $255.10	Professional		$171.35	$216.90	$255.10