Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $199.53 / $203.63	Professional		$107.96	$199.53	$203.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.08 / $318.64 / $398.31	Professional		$229.08	$318.64	$398.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $208.67 / $327.04	Professional		$138.26	$208.67	$327.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.45 / $315.76 / $4,645.00	Facility		$165.45	$315.76	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $266.69 / $1,461.62	Professional		$135.19	$266.69	$1,461.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $235.36 / $327.71 / $1,597.11	Facility		$235.36	$327.71	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $297.14 / $399.40	Professional		$199.21	$297.14	$399.40
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 $129.05 / $196.64 / $356.33	Professional		$129.05	$196.64	$356.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $232.18 / $293.89 / $345.80	Professional		$232.18	$293.89	$345.80