Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.30 / $242.37 / $339.02	Facility		$134.30	$242.37	$339.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $95.93 / $95.93	Professional		$82.50	$95.93	$95.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.81 / $188.66 / $235.82	Professional		$163.81	$188.66	$235.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $64.64 / $432.12	Professional		$42.26	$64.64	$432.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.76 / $196.03 / $1,988.00	Facility		$113.76	$196.03	$1,988.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $107.04 / $326.58	Professional		$53.62	$107.04	$326.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.75 / $223.64 / $310.55	Facility		$90.75	$223.64	$310.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $208.37 / $337.21	Professional		$115.00	$208.37	$337.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.63 / $1,722.32 / $2,097.94	Facility		$1,052.63	$1,722.32	$2,097.94
United Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $79.34 / $347.33	Professional		$53.04	$79.34	$347.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $84.50 / $99.40	Professional		$66.76	$84.50	$99.40