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 $94.82 / $169.31 / $649.00	Professional		$94.82	$169.31	$649.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $170.43 / $353.52	Professional		$118.74	$170.43	$353.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $155.32 / $311.57	Professional		$61.05	$155.32	$311.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $221.51 / $2,314.36	Facility		$116.57	$221.51	$2,314.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $206.00 / $460.06	Professional		$131.74	$206.00	$460.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.25 / $159.76 / $303.63	Facility		$119.25	$159.76	$303.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $208.67 / $339.69	Professional		$131.74	$208.67	$339.69
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 $122.95 / $174.32 / $338.54	Professional		$122.95	$174.32	$338.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $126.20 / $253.90	Professional		$107.30	$126.20	$253.90