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 $84.52 / $117.21 / $197.15	Professional		$84.52	$117.21	$197.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $268.33 / $369.10	Professional		$175.67	$268.33	$369.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $180.39 / $334.67	Professional		$101.85	$180.39	$334.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $239.26 / $758.10	Facility		$130.86	$239.26	$758.10
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $415.40 / $415.40 / $415.40	Facility	52	$415.40	$415.40	$415.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $235.29 / $817.04	Professional		$122.03	$235.29	$817.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.38 / $228.92 / $331.18	Facility		$139.38	$228.92	$331.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $170.31 / $246.40 / $343.07	Professional		$170.31	$246.40	$343.07
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 $116.49 / $177.50 / $332.82	Professional		$116.49	$177.50	$332.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $202.79 / $256.70 / $302.00	Professional		$202.79	$256.70	$302.00