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 $27.15 / $130.03 / $289.25	Professional		$27.15	$130.03	$289.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $219.19 / $332.09	Professional		$64.78	$219.19	$332.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $133.60 / $341.01	Professional		$27.72	$133.60	$341.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $180.06 / $758.10	Facility		$55.66	$180.06	$758.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $238.37 / $438.07	Professional		$110.13	$238.37	$438.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $180.06 / $314.66	Facility		$64.78	$180.06	$314.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $216.55 / $319.80	Professional		$64.78	$216.55	$319.80
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 $123.08 / $192.11 / $384.00	Professional		$123.08	$192.11	$384.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $67.20 / $255.90	Professional		$57.10	$67.20	$255.90