Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $116.86 / $116.86	Professional		$70.90	$116.86	$116.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $162.83 / $203.54	Professional		$110.98	$162.83	$203.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $45.74 / $220.14	Professional		$26.66	$45.74	$220.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $172.24 / $1,775.00	Facility		$92.43	$172.24	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $126.11 / $230.67	Professional		$77.95	$126.11	$230.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.11 / $239.83 / $656.58	Facility		$126.11	$239.83	$656.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $148.72 / $208.57	Professional		$90.70	$148.72	$208.57
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 $77.95 / $106.80 / $196.07	Professional		$77.95	$106.80	$196.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $83.60 / $98.30	Professional		$66.04	$83.60	$98.30