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 $103.98 / $159.11 / $603.92	Professional		$103.98	$159.11	$603.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $252.43 / $315.54	Professional		$154.05	$252.43	$315.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $177.33 / $370.37	Professional		$101.03	$177.33	$370.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.15 / $240.27 / $1,607.00	Facility		$138.15	$240.27	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $242.97 / $777.68	Professional		$134.11	$242.97	$777.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $259.83 / $369.18	Facility		$224.00	$259.83	$369.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.45 / $257.88 / $339.98	Professional		$198.45	$257.88	$339.98
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 $123.73 / $172.05 / $309.24	Professional		$123.73	$172.05	$309.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $211.70 / $249.00	Professional		$167.24	$211.70	$249.00