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 $41.21 / $68.31 / $68.31	Professional		$41.21	$68.31	$68.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $101.46 / $123.87	Professional		$64.45	$101.46	$123.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $72.00 / $167.06	Professional		$41.30	$72.00	$167.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $121.60 / $1,839.78	Facility		$59.08	$121.60	$1,839.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $96.70 / $359.19	Professional		$51.15	$96.70	$359.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.26 / $106.06 / $143.91	Facility		$71.26	$106.06	$143.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $106.06 / $146.00	Professional		$73.00	$106.06	$146.00
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 $46.48 / $66.72 / $131.59	Professional		$46.48	$66.72	$131.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $78.90 / $92.80	Professional		$62.33	$78.90	$92.80