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 $152.85 / $260.97 / $454.93	Professional		$152.85	$260.97	$454.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.21 / $539.13 / $879.41	Professional		$346.21	$539.13	$879.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $383.39 / $740.05	Professional		$166.40	$383.39	$740.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.21 / $436.21 / $768.83	Facility		$204.21	$436.21	$768.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $514.16 / $1,891.89	Professional		$289.08	$514.16	$1,891.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $427.50 / $726.54	Facility		$136.38	$427.50	$726.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.39 / $496.48 / $754.06	Professional		$346.39	$496.48	$754.06
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 $283.35 / $418.90 / $849.37	Professional		$283.35	$418.90	$849.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $388.10 / $692.30	Professional		$329.90	$388.10	$692.30