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 $42.09 / $75.16 / $487.99	Professional		$42.09	$75.16	$487.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $117.84 / $196.63	Professional		$76.91	$117.84	$196.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $95.51 / $150.00	Professional		$40.53	$95.51	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.76 / $123.21 / $1,607.00	Facility		$65.76	$123.21	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $124.58 / $2,932.96	Professional		$84.95	$124.58	$2,932.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.29 / $141.72 / $213.15	Facility		$87.29	$141.72	$213.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $134.32 / $222.19	Professional		$85.37	$134.32	$222.19
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 $81.26 / $110.81 / $204.40	Professional		$81.26	$110.81	$204.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $91.40 / $166.00	Professional		$77.70	$91.40	$166.00