Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.21 / $209.08 / $342.29	Professional		$128.21	$209.08	$342.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $410.98 / $642.76	Professional		$268.52	$410.98	$642.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.12 / $301.67 / $472.55	Professional		$132.12	$301.67	$472.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.66 / $373.39 / $2,999.21	Facility		$220.66	$373.39	$2,999.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $423.30 / $1,536.02	Professional		$223.98	$423.30	$1,536.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $243.67 / $356.00 / $548.86	Facility		$243.67	$356.00	$548.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.49 / $404.06 / $560.91	Professional		$281.49	$404.06	$560.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.57 / $338.39 / $610.86	Professional		$212.57	$338.39	$610.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.70 / $331.40 / $507.40	Professional		$281.70	$331.40	$507.40