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 $74.92 / $112.87 / $189.55	Professional		$74.92	$112.87	$189.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $218.58 / $335.99	Professional		$157.88	$218.58	$335.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $150.87 / $314.83	Professional		$75.13	$150.87	$314.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.88 / $211.96 / $400.84	Facility		$122.88	$211.96	$400.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $225.57 / $587.12	Professional		$120.90	$225.57	$587.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.59 / $218.67 / $323.06	Facility		$177.59	$218.67	$323.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.78 / $222.20 / $327.93	Professional		$169.78	$222.20	$327.93
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 $114.91 / $175.10 / $328.32	Professional		$114.91	$175.10	$328.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $184.20 / $274.10	Professional		$156.60	$184.20	$274.10