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 $71.77 / $112.68 / $214.38	Professional		$71.77	$112.68	$214.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $223.93 / $341.83	Professional		$143.13	$223.93	$341.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $143.05 / $383.60	Professional		$71.61	$143.05	$383.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $196.60 / $616.05	Facility		$120.81	$196.60	$616.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $200.20 / $583.44	Professional		$112.58	$200.20	$583.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $193.43 / $289.22	Facility		$134.00	$193.43	$289.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $199.69 / $304.17	Professional		$147.69	$199.69	$304.17
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 $105.11 / $160.16 / $303.85	Professional		$105.11	$160.16	$303.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $180.40 / $268.80	Professional		$153.40	$180.40	$268.80