Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $2,511.89 / $6,760.83	Facility		$120.23	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $181.97	Professional		$63.10	$97.72	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $245.47	Professional		$75.86	$173.78	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $186.21	Professional		$60.26	$97.72	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $204.17 / $4,677.35	Facility		$117.49	$204.17	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $524.81	Professional		$93.33	$173.78	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $218.78	Professional		$151.36	$177.83	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $6,309.57	Facility		$1,819.70	$3,388.44	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $218.78	Professional		$75.86	$109.65	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $181.97	Professional		$123.03	$154.88	$181.97