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 $90.64 / $168.03 / $314.67	Professional		$90.64	$168.03	$314.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $273.66 / $515.17	Professional		$130.07	$273.66	$515.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $174.77 / $431.48	Professional		$90.81	$174.77	$431.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.15 / $383.56 / $5,232.66	Facility		$208.15	$383.56	$5,232.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.55 / $321.63 / $710.08	Professional		$195.55	$321.63	$710.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.90 / $256.98 / $442.04	Facility		$197.90	$256.98	$442.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $320.33 / $506.93	Professional		$208.15	$320.33	$506.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,970.00 / $4,006.00 / $5,991.40	Facility		$1,970.00	$4,006.00	$5,991.40
United Facility/Professional Professional Modifier Low / Median / High Price $185.06 / $269.18 / $504.72	Professional		$185.06	$269.18	$504.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $212.10 / $390.90	Professional		$180.30	$212.10	$390.90