Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.72 / $2,912.34 / $7,119.04	Facility		$1,342.72	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $157.46 / $616.38	Professional		$98.45	$157.46	$616.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.69 / $312.94 / $430.45	Professional		$211.69	$312.94	$430.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $191.36 / $396.84	Professional		$98.65	$191.36	$396.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.55 / $273.41 / $1,724.14	Facility		$147.55	$273.41	$1,724.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $283.43 / $778.32	Professional		$151.22	$283.43	$778.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.85 / $258.01 / $374.85	Facility		$138.85	$258.01	$374.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.53 / $283.43 / $409.09	Professional		$217.53	$283.43	$409.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $218.54 / $424.04	Professional		$143.66	$218.54	$424.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.30 / $243.90 / $349.60	Professional		$207.30	$243.90	$349.60