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 $86.46 / $143.26 / $717.07	Professional		$86.46	$143.26	$717.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $260.02 / $334.04	Professional		$130.09	$260.02	$334.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $154.30 / $317.69	Professional		$89.55	$154.30	$317.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.32 / $210.33 / $1,607.00	Facility		$114.32	$210.33	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $241.37 / $703.76	Professional		$127.04	$241.37	$703.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.33 / $264.20 / $350.81	Facility		$210.33	$264.20	$350.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $253.72 / $326.04	Professional		$185.90	$253.72	$326.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $173.24 / $295.23	Professional		$124.88	$173.24	$295.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $201.60 / $253.20	Professional		$170.01	$201.60	$253.20