Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $182.43 / $600.64	Professional		$115.83	$182.43	$600.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.16 / $281.45 / $435.32	Professional		$225.16	$281.45	$435.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $209.13 / $318.38	Professional		$95.23	$209.13	$318.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.58 / $375.30 / $3,482.00	Facility		$241.58	$375.30	$3,482.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $344.00 / $755.92	Professional		$203.46	$344.00	$755.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $243.24 / $358.85 / $635.45	Facility		$243.24	$358.85	$635.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.86 / $315.00 / $407.14	Professional		$210.86	$315.00	$407.14
United Facility/Professional Facility Modifier Low / Median / High Price $811.80 / $1,775.00 / $5,454.00	Facility		$811.80	$1,775.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $302.22 / $477.59	Professional		$168.72	$302.22	$477.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.80 / $241.00 / $361.90	Professional		$204.80	$241.00	$361.90