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 $131.88 / $229.19 / $380.28	Professional		$131.88	$229.19	$380.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.80 / $660.80 / $660.80	Professional	50	$660.80	$660.80	$660.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.02 / $377.86 / $573.82	Professional		$168.02	$377.86	$573.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.83 / $215.19 / $472.71	Professional		$124.83	$215.19	$472.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.04 / $466.52 / $4,645.00	Facility		$267.04	$466.52	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.68 / $414.55 / $977.52	Professional		$244.68	$414.55	$977.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $240.70 / $324.48 / $532.35	Facility		$240.70	$324.48	$532.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.76 / $400.12 / $622.27	Professional		$286.76	$400.12	$622.27
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 $224.29 / $326.24 / $610.12	Professional		$224.29	$326.24	$610.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $292.20 / $475.40	Professional		$248.40	$292.20	$475.40