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 $145.61 / $238.68 / $265.06	Professional		$145.61	$238.68	$265.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.03 / $299.04 / $457.72	Professional		$164.03	$299.04	$457.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $200.32 / $282.95	Professional		$109.69	$200.32	$282.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $285.00 / $2,013.52	Facility		$166.74	$285.00	$2,013.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.09 / $298.48 / $816.48	Professional		$179.09	$298.48	$816.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $254.38 / $391.11	Facility		$139.57	$254.38	$391.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $299.04 / $428.76	Professional		$234.00	$299.04	$428.76
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 $164.16 / $224.90 / $418.93	Professional		$164.16	$224.90	$418.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $235.10 / $339.70	Professional		$199.80	$235.10	$339.70