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 $58.06 / $92.66 / $137.93	Professional		$58.06	$92.66	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $176.55 / $250.29	Professional		$114.80	$176.55	$250.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $116.35 / $257.12	Professional		$60.64	$116.35	$257.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.35 / $164.22 / $758.10	Facility		$92.35	$164.22	$758.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $165.15 / $482.32	Professional		$87.74	$165.15	$482.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $160.01 / $214.42	Facility		$78.34	$160.01	$214.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $167.84 / $236.60	Professional		$123.01	$167.84	$236.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $127.62 / $237.68	Professional		$85.57	$127.62	$237.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $150.19 / $200.80	Professional		$127.70	$150.19	$200.80