Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $92.54 / $93.17	Professional		$62.32	$92.54	$93.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $110.25 / $137.81	Professional		$72.00	$110.25	$137.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $117.17 / $162.65	Professional		$68.78	$117.17	$162.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.32 / $147.37 / $1,623.00	Facility		$62.32	$147.37	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $162.82 / $502.24	Professional		$97.26	$162.82	$502.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $134.01 / $202.51	Facility		$77.00	$134.01	$202.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $134.01 / $189.15	Professional		$88.44	$134.01	$189.15
United Facility/Professional Facility Modifier Low / Median / High Price $260.89 / $597.22 / $1,966.00	Facility		$260.89	$597.22	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $152.63 / $290.82	Professional		$111.94	$152.63	$290.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $92.80 / $139.60	Professional		$78.90	$92.80	$139.60