Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.25 / $3,489.13 / $7,119.04	Facility		$1,040.25	$3,489.13	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $168.50 / $451.13	Professional		$62.11	$168.50	$451.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.01 / $336.37 / $449.00	Professional		$134.01	$336.37	$449.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $205.22 / $631.08	Professional		$59.18	$205.22	$631.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $374.46 / $3,322.42	Facility		$131.74	$374.46	$3,322.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.43 / $420.96 / $1,320.85	Professional		$267.43	$420.96	$1,320.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $146.30 / $420.96 / $1,183.28	Facility		$146.30	$420.96	$1,183.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $372.83 / $625.36	Professional		$146.30	$372.83	$625.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.43 / $410.53 / $764.61	Professional		$267.43	$410.53	$764.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $136.69 / $349.60	Professional		$116.20	$136.69	$349.60