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 $98.95 / $108.62 / $430.82	Professional		$98.95	$108.62	$430.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $199.64 / $311.64	Professional		$106.78	$199.64	$311.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $136.79 / $191.98	Professional		$71.09	$136.79	$191.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.62 / $188.54 / $1,607.00	Facility		$108.62	$188.54	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $192.70 / $594.00	Professional		$120.23	$192.70	$594.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $163.99 / $265.81	Facility		$98.95	$163.99	$265.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.11 / $197.67 / $281.08	Professional		$146.11	$197.67	$281.08
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 $105.68 / $150.97 / $278.50	Professional		$105.68	$150.97	$278.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $152.10 / $230.20	Professional		$129.19	$152.10	$230.20