Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.44 / $3,259.25 / $7,119.04	Facility		$1,236.44	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $111.51 / $410.00	Professional		$65.41	$111.51	$410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $188.93 / $261.00	Professional		$137.35	$188.93	$261.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $123.66 / $265.88	Professional		$64.13	$123.66	$265.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $173.72 / $328.58	Facility		$98.22	$173.72	$328.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $184.44 / $510.56	Professional		$97.55	$184.44	$510.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $187.35 / $248.60	Facility		$151.38	$187.35	$248.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $187.35 / $263.02	Professional		$145.74	$187.35	$263.02
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 $95.64 / $141.88 / $283.20	Professional		$95.64	$141.88	$283.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $157.00 / $212.20	Professional		$133.50	$157.00	$212.20