Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $5,370.32 / $7,943.28	Facility		$95.50	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $117.49	Professional		$66.07	$75.86	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $263.03	Professional		$234.42	$234.42	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $177.83 / $2,137.96	Facility		$97.72	$177.83	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $263.03	Professional		$83.18	$144.54	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
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 $83.18 / $112.20 / $223.87	Professional		$83.18	$112.20	$223.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $223.87	Professional		$147.91	$190.55	$223.87