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 $170.24 / $297.95 / $548.01	Professional		$170.24	$297.95	$548.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.55 / $538.54 / $1,056.65	Professional		$360.55	$538.54	$1,056.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $400.70 / $789.98	Professional		$190.37	$400.70	$789.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.58 / $497.80 / $879.03	Facility		$286.58	$497.80	$879.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.85 / $580.52 / $1,773.26	Professional		$324.85	$580.52	$1,773.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $456.73 / $819.05	Facility		$229.86	$456.73	$819.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $342.12 / $547.78 / $879.03	Professional		$342.12	$547.78	$879.03
United Facility/Professional Facility Modifier Low / Median / High Price $348.72 / $798.22 / $1,966.00	Facility		$348.72	$798.22	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $556.78 / $925.11	Professional		$325.95	$556.78	$925.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $391.50 / $460.50 / $852.40	Professional		$391.50	$460.50	$852.40