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 $59.46 / $112.17 / $134.66	Professional		$59.46	$112.17	$134.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $160.18 / $220.10	Professional		$73.92	$160.18	$220.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $92.91 / $209.15	Professional		$58.84	$92.91	$209.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.22 / $189.57 / $1,371.00	Facility		$115.22	$189.57	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $157.88 / $481.84	Professional		$84.18	$157.88	$481.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.43 / $140.47 / $192.66	Facility		$54.43	$140.47	$192.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.31 / $158.51 / $198.54	Professional		$121.31	$158.51	$198.54
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 $77.17 / $112.24 / $210.45	Professional		$77.17	$112.24	$210.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $143.10 / $170.60	Professional		$114.55	$143.10	$170.60