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 $88.25 / $133.34 / $529.57	Professional		$88.25	$133.34	$529.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $216.59 / $270.74	Professional		$116.49	$216.59	$270.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $143.88 / $286.81	Professional		$82.60	$143.88	$286.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.20 / $196.20 / $1,607.00	Facility		$108.20	$196.20	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $195.77 / $650.40	Professional		$112.74	$195.77	$650.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $215.83 / $299.29	Facility		$173.00	$215.83	$299.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.02 / $214.70 / $275.30	Professional		$167.02	$214.70	$275.30
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 $101.71 / $148.96 / $269.08	Professional		$101.71	$148.96	$269.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $174.90 / $205.80	Professional		$138.16	$174.90	$205.80