Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $77.70 / $306.62	Professional		$74.56	$77.70	$306.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $143.16 / $235.68	Professional		$80.52	$143.16	$235.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $105.12 / $144.53	Professional		$51.01	$105.12	$144.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $131.33 / $1,204.00	Facility		$77.70	$131.33	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $135.10 / $544.00	Professional		$89.44	$135.10	$544.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $116.16 / $197.34	Facility		$77.59	$116.16	$197.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $147.55 / $199.78	Professional		$105.33	$147.55	$199.78
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 $81.98 / $102.83 / $212.58	Professional		$81.98	$102.83	$212.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $109.50 / $173.70	Professional		$93.10	$109.50	$173.70