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 $94.23 / $226.83 / $866.74	Professional		$94.23	$226.83	$866.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $282.42 / $692.43	Professional		$150.13	$282.42	$692.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $232.02 / $557.71	Professional		$92.47	$232.02	$557.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.51 / $510.91 / $4,645.00	Facility		$212.51	$510.91	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.57 / $429.82 / $898.72	Professional		$242.57	$429.82	$898.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $341.77 / $593.36	Facility		$225.10	$341.77	$593.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $212.51 / $416.75 / $655.74	Professional		$212.51	$416.75	$655.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $4,878.97 / $6,267.00	Facility		$2,679.00	$4,878.97	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.50 / $353.09 / $669.28	Professional		$239.50	$353.09	$669.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $216.60 / $520.70	Professional		$184.10	$216.60	$520.70