Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $142.91 / $324.05	Professional		$82.48	$142.91	$324.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $149.00 / $263.92	Professional		$91.00	$149.00	$263.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $113.76 / $274.19	Professional		$51.60	$113.76	$274.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $142.91 / $1,607.00	Facility		$82.48	$142.91	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $151.16 / $402.64	Professional		$100.55	$151.16	$402.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.78 / $168.81 / $252.42	Facility		$108.78	$168.81	$252.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $166.57 / $257.01	Professional		$107.74	$166.57	$257.01
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 $99.27 / $135.94 / $271.05	Professional		$99.27	$135.94	$271.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $116.50 / $196.70	Professional		$99.00	$116.50	$196.70