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 $63.99 / $96.21 / $207.90	Professional		$63.99	$96.21	$207.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $177.72 / $204.05	Professional		$80.89	$177.72	$204.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $103.68 / $157.57	Professional		$62.45	$103.68	$157.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.17 / $194.61 / $4,645.00	Facility		$118.17	$194.61	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.55 / $171.78 / $519.20	Professional		$93.55	$171.78	$519.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $154.41 / $208.56	Facility		$78.45	$154.41	$208.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $169.30 / $218.58	Professional		$126.00	$169.30	$218.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $124.74 / $233.88	Professional		$85.76	$124.74	$233.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $153.50 / $181.70	Professional		$122.06	$153.50	$181.70