Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $2,563.00 / $6,446.00	Facility		$1,018.60	$2,563.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $237.16 / $638.00	Professional		$86.22	$237.16	$638.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.21 / $271.70 / $483.04	Professional		$154.21	$271.70	$483.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $175.94 / $294.19	Professional		$84.97	$175.94	$294.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.41 / $259.52 / $1,341.00	Facility		$120.41	$259.52	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $255.44 / $701.20	Professional		$147.22	$255.44	$701.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $195.98 / $280.52 / $444.37	Facility		$195.98	$280.52	$444.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.21 / $253.98 / $439.98	Professional		$183.21	$253.98	$439.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $225.20 / $391.14	Professional		$126.80	$225.20	$391.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $196.70 / $344.60	Professional		$167.20	$196.70	$344.60