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 $116.37 / $199.34 / $724.79	Professional		$116.37	$199.34	$724.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.36 / $346.70 / $364.63	Professional		$277.36	$346.70	$364.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $226.91 / $427.11	Professional		$124.36	$226.91	$427.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $278.23 / $540.87 / $14,428.30	Facility		$278.23	$540.87	$14,428.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $305.64 / $536.78	Professional		$161.66	$305.64	$536.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $412.96 / $5,661.05	Facility		$264.00	$412.96	$5,661.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $205.74 / $293.81 / $389.37	Professional		$205.74	$293.81	$389.37
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $268.25 / $411.14	Professional		$151.56	$268.25	$411.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $266.20 / $313.20	Professional		$210.30	$266.20	$313.20