Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $194.11 / $712.89	Professional		$113.51	$194.11	$712.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.57 / $336.96 / $364.51	Professional		$269.57	$336.96	$364.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $203.52 / $438.24	Professional		$120.91	$203.52	$438.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $264.22 / $345.88 / $6,608.00	Facility		$264.22	$345.88	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $334.95 / $910.82	Professional		$163.54	$334.95	$910.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.99 / $293.89 / $381.96	Facility		$196.99	$293.89	$381.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $196.99 / $307.94 / $448.00	Professional		$196.99	$307.94	$448.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $285.27 / $409.22	Professional		$142.16	$285.27	$409.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.53 / $258.89 / $304.60	Professional		$204.53	$258.89	$304.60