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 $132.40 / $152.49 / $608.26	Professional		$132.40	$152.49	$608.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $281.45 / $414.87	Professional		$148.12	$281.45	$414.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $180.71 / $256.20	Professional		$99.94	$180.71	$256.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.63 / $260.77 / $1,607.00	Facility		$144.63	$260.77	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $260.77 / $747.92	Professional		$162.76	$260.77	$747.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $226.83 / $355.37	Facility		$126.03	$226.83	$355.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $266.95 / $380.77	Professional		$193.02	$266.95	$380.77
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 $149.19 / $203.45 / $375.29	Professional		$149.19	$203.45	$375.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $213.40 / $306.89	Professional		$181.40	$213.40	$306.89