Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.39 / $3,259.25 / $7,119.04	Facility		$1,287.39	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $173.24 / $626.00	Professional		$107.49	$173.24	$626.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $316.51 / $503.49	Professional		$230.10	$316.51	$503.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $220.56 / $451.54	Professional		$106.99	$220.56	$451.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.65 / $304.02 / $1,724.14	Facility		$169.65	$304.02	$1,724.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.69 / $327.08 / $845.68	Professional		$175.69	$327.08	$845.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.65 / $280.45 / $433.10	Facility		$169.65	$280.45	$433.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $320.58 / $476.20	Professional		$242.55	$320.58	$476.20
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 $167.71 / $255.55 / $479.16	Professional		$167.71	$255.55	$479.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $264.30 / $405.40	Professional		$224.60	$264.30	$405.40