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 $106.51 / $159.26 / $246.29	Professional		$106.51	$159.26	$246.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $311.64 / $447.98	Professional		$226.56	$311.64	$447.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $204.05 / $427.27	Professional		$107.60	$204.05	$427.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.26 / $290.61 / $1,724.14	Facility		$159.26	$290.61	$1,724.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $303.69 / $837.28	Professional		$159.16	$303.69	$837.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.38 / $277.47 / $403.33	Facility		$139.38	$277.47	$403.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $235.28 / $308.74 / $428.76	Professional		$235.28	$308.74	$428.76
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 $151.19 / $232.24 / $466.32	Professional		$151.19	$232.24	$466.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $265.80 / $369.20	Professional		$225.90	$265.80	$369.20