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 $115.22 / $195.87 / $728.87	Professional		$115.22	$195.87	$728.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $283.58 / $354.49	Professional		$283.58	$283.58	$354.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.61 / $164.01 / $581.65	Professional		$113.61	$164.01	$581.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.15 / $2,812.75 / $5,521.00	Facility		$233.15	$2,812.75	$5,521.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $203.12 / $375.42	Professional		$136.99	$203.12	$375.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.52 / $1,074.48 / $1,671.41	Facility		$234.52	$1,074.48	$1,671.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.86 / $242.87 / $374.93	Professional		$168.86	$242.87	$374.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.08 / $190.59 / $387.77	Professional		$136.08	$190.59	$387.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $233.30 / $233.30	Professional		$233.30	$233.30	$233.30