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 $156.28 / $269.60 / $463.57	Professional		$156.28	$269.60	$463.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.22 / $492.78 / $894.99	Professional		$307.22	$492.78	$894.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.23 / $355.11 / $635.05	Professional		$172.23	$355.11	$635.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.60 / $455.62 / $783.43	Facility		$269.60	$455.62	$783.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.88 / $499.68 / $1,554.32	Professional		$275.88	$499.68	$1,554.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $391.14 / $694.12	Facility		$229.86	$391.14	$694.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.27 / $462.38 / $740.32	Professional		$325.27	$462.38	$740.32
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 $257.62 / $427.54 / $796.29	Professional		$257.62	$427.54	$796.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $342.10 / $402.40 / $706.70	Professional		$342.10	$402.40	$706.70