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 $131.72 / $234.96 / $406.26	Professional		$131.72	$234.96	$406.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $410.00 / $727.37	Professional		$270.32	$410.00	$727.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $336.72 / $584.96	Professional		$142.90	$336.72	$584.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.82 / $400.11 / $708.86	Facility		$223.82	$400.11	$708.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.55 / $474.21 / $1,672.94	Professional		$256.55	$474.21	$1,672.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $351.91 / $650.76	Facility		$229.86	$351.91	$650.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $425.92 / $673.01	Professional		$270.32	$425.92	$673.01
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 $244.45 / $373.17 / $698.15	Professional		$244.45	$373.17	$698.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $333.70 / $620.60	Professional		$283.70	$333.70	$620.60