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 $105.39 / $183.12 / $309.49	Professional		$105.39	$183.12	$309.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $312.57 / $312.57 / $312.57	Professional	50	$312.57	$312.57	$312.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $321.38 / $513.23	Professional		$130.18	$321.38	$513.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $181.42 / $323.08	Professional		$105.24	$181.42	$323.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.71 / $393.27 / $5,857.27	Facility		$203.71	$393.27	$5,857.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $305.76 / $830.56	Professional		$196.21	$305.76	$830.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $256.95 / $412.85 / $2,308.21	Facility		$256.95	$412.85	$2,308.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $324.37 / $475.59	Professional		$227.00	$324.37	$475.59
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 $179.86 / $261.62 / $490.42	Professional		$179.86	$261.62	$490.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $246.20 / $388.70	Professional		$209.30	$246.20	$388.70