Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $5,370.32 / $7,943.28	Facility		$218.78	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $234.42	Professional		$114.82	$147.91	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $245.47	Professional		$131.83	$186.21	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $977.24	Professional		$64.57	$97.72	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $478.63 / $1,949.84	Facility		$154.88	$478.63	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $676.08	Professional		$81.28	$151.36	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $676.08	Professional		$141.25	$275.42	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
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 $72.44 / $112.20 / $204.17	Professional		$72.44	$112.20	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $64.57	Professional		$51.29	$64.57	$64.57