Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $186.38 / $354.12	Professional		$163.06	$186.38	$354.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $318.76 / $362.59	Professional		$263.33	$318.76	$362.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $195.19 / $463.22	Professional		$110.98	$195.19	$463.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $523.27 / $14,428.30	Facility		$283.95	$523.27	$14,428.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $296.12 / $575.99	Professional		$172.00	$296.12	$575.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $256.24 / $372.29 / $5,661.05	Facility		$256.24	$372.29	$5,661.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $296.12 / $371.39	Professional		$189.95	$296.12	$371.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,965.59 / $11,397.14 / $14,242.22	Facility		$6,965.59	$11,397.14	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $273.64 / $393.76	Professional		$136.80	$273.64	$393.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $237.50 / $279.50	Professional		$187.63	$237.50	$279.50