Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $219.08 / $219.08	Professional		$115.11	$219.08	$219.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $194.04 / $276.57	Professional		$140.59	$194.04	$276.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $97.79 / $799.76	Professional		$68.41	$97.79	$799.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.59 / $376.82 / $1,966.00	Facility		$140.59	$376.82	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $140.18 / $406.25	Professional		$75.43	$140.18	$406.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.48 / $229.13 / $393.16	Facility		$101.48	$229.13	$393.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $200.63 / $400.99	Professional		$116.43	$200.63	$400.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $117.55 / $204.63	Professional		$72.29	$117.55	$204.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $65.15 / $65.15	Professional		$51.47	$65.15	$65.15