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 $36.88 / $89.89 / $199.22	Professional		$36.88	$89.89	$199.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $112.00 / $239.00	Professional		$81.42	$112.00	$239.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $103.80 / $384.58	Professional		$38.13	$103.80	$384.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $125.85 / $758.10	Facility		$72.59	$125.85	$758.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $153.88 / $340.74	Professional		$79.51	$153.88	$340.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.89 / $118.13 / $212.95	Facility		$92.89	$118.13	$212.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $131.91 / $217.35	Professional		$92.89	$131.91	$217.35
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 $72.62 / $121.15 / $227.16	Professional		$72.62	$121.15	$227.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $92.10 / $198.60	Professional		$78.30	$92.10	$198.60