Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.58 / $103.19 / $231.76	Professional		$78.58	$103.19	$231.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $205.97 / $269.76	Professional		$106.86	$205.97	$269.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $124.82 / $184.80	Professional		$54.57	$124.82	$184.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $177.83 / $1,341.00	Facility		$83.99	$177.83	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $167.33 / $410.48	Professional		$107.38	$167.33	$410.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.08 / $174.00 / $273.73	Facility		$120.08	$174.00	$273.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $174.00 / $253.41	Professional		$120.08	$174.00	$253.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $98.43 / $141.86 / $263.54	Professional		$98.43	$141.86	$263.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $115.10 / $197.40	Professional		$97.80	$115.10	$197.40