Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.38 / $741.84 / $2,755.44	Facility		$280.38	$741.84	$2,755.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $211.51 / $644.41	Professional		$104.44	$211.51	$644.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.44 / $316.14 / $398.35	Professional		$218.44	$316.14	$398.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $202.37 / $613.35	Professional		$99.20	$202.37	$613.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.57 / $494.10 / $3,482.00	Facility		$252.57	$494.10	$3,482.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.09 / $364.68 / $1,109.64	Professional		$190.09	$364.68	$1,109.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $215.19 / $306.94 / $472.79	Facility		$215.19	$306.94	$472.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $216.23 / $308.42 / $472.79	Professional		$216.23	$308.42	$472.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.88 / $364.68 / $539.29	Professional		$174.88	$364.68	$539.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $252.00 / $359.50	Professional		$214.20	$252.00	$359.50