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 $60.41 / $91.51 / $157.02	Professional		$60.41	$91.51	$157.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $198.67 / $297.02	Professional		$130.69	$198.67	$297.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $138.93 / $266.31	Professional		$69.36	$138.93	$266.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.06 / $166.74 / $661.20	Facility		$108.06	$166.74	$661.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $184.02 / $666.16	Professional		$100.30	$184.02	$666.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.06 / $157.11 / $248.89	Facility		$108.06	$157.11	$248.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $183.95 / $261.37	Professional		$125.98	$183.95	$261.37
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 $95.66 / $145.88 / $270.42	Professional		$95.66	$145.88	$270.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $161.60 / $236.30	Professional		$137.30	$161.60	$236.30