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 $241.18 / $344.34 / $506.22	Professional		$241.18	$344.34	$506.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.93 / $546.62 / $611.29	Professional		$479.93	$546.62	$611.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.11 / $345.63 / $892.16	Professional		$221.11	$345.63	$892.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.02 / $581.92 / $6,608.00	Facility		$307.02	$581.92	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.16 / $531.58 / $932.22	Professional		$281.16	$531.58	$932.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $367.08 / $526.03 / $679.34	Facility		$367.08	$526.03	$679.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.56 / $498.53 / $679.34	Professional		$389.56	$498.53	$679.34
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 $263.58 / $504.50 / $727.07	Professional		$263.58	$504.50	$727.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.11 / $457.10 / $537.70	Professional		$361.11	$457.10	$537.70