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 $162.86 / $281.29 / $464.25	Professional		$162.86	$281.29	$464.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.47 / $510.31 / $796.25	Professional		$352.47	$510.31	$796.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.67 / $376.21 / $789.98	Professional		$178.67	$376.21	$789.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.64 / $464.25 / $784.58	Facility		$271.64	$464.25	$784.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.39 / $530.24 / $1,678.96	Professional		$288.39	$530.24	$1,678.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $420.87 / $738.69	Facility		$229.86	$420.87	$738.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.65 / $486.40 / $739.36	Professional		$353.65	$486.40	$739.36
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 $281.83 / $430.06 / $874.99	Professional		$281.83	$430.06	$874.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $416.80 / $703.70	Professional		$354.20	$416.80	$703.70