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 $169.67 / $292.83 / $497.80	Professional		$169.67	$292.83	$497.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.85 / $533.67 / $793.77	Professional		$349.85	$533.67	$793.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $403.05 / $690.11	Professional		$186.46	$403.05	$690.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.64 / $471.71 / $841.28	Facility		$271.64	$471.71	$841.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $311.38 / $536.91 / $1,843.25	Professional		$311.38	$536.91	$1,843.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $452.00 / $778.68	Facility		$229.86	$452.00	$778.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.69 / $514.55 / $793.77	Professional		$353.69	$514.55	$793.77
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 $301.02 / $459.39 / $855.62	Professional		$301.02	$459.39	$855.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $434.90 / $756.50	Professional		$369.60	$434.90	$756.50