Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.08 / $273.27 / $352.53	Professional		$171.08	$273.27	$352.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.24 / $451.24 / $549.61	Professional		$375.24	$451.24	$549.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.42 / $321.00 / $639.67	Professional		$190.42	$321.00	$639.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.27 / $467.90 / $1,623.00	Facility		$273.27	$467.90	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $390.04 / $3,485.49	Professional		$204.68	$390.04	$3,485.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $344.08 / $451.24 / $568.26	Facility		$344.08	$451.24	$568.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.89 / $439.99 / $568.26	Professional		$295.89	$439.99	$568.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.80 / $296.43 / $603.11	Professional		$203.80	$296.43	$603.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $314.33 / $397.90 / $468.10	Professional		$314.33	$397.90	$468.10