Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,350.51 / $3,489.13 / $6,446.00	Facility		$2,350.51	$3,489.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $195.56 / $472.62	Professional		$102.64	$195.56	$472.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $187.96 / $362.28	Professional		$123.42	$187.96	$362.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $170.90 / $369.10	Professional		$67.20	$170.90	$369.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.64 / $195.56 / $1,607.00	Facility		$102.64	$195.56	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $225.76 / $1,392.00	Professional		$139.72	$225.76	$1,392.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $277.29 / $408.80	Facility		$157.71	$277.29	$408.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $237.35 / $364.28	Professional		$147.13	$237.35	$364.28
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 $135.26 / $190.55 / $377.92	Professional		$135.26	$190.55	$377.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $143.69 / $265.70	Professional		$122.10	$143.69	$265.70