Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $257.64 / $1,109.00	Professional		$139.30	$257.64	$1,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.64 / $383.25 / $681.71	Professional		$176.64	$383.25	$681.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $242.59 / $540.24	Professional		$140.72	$242.59	$540.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.20 / $507.29 / $6,226.87	Facility		$293.20	$507.29	$6,226.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $441.44 / $1,106.72	Professional		$265.02	$441.44	$1,106.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $367.32 / $582.53	Facility		$263.45	$367.32	$582.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $314.16 / $441.71 / $669.61	Professional		$314.16	$441.71	$669.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.95 / $353.38 / $662.58	Professional		$242.95	$353.38	$662.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $279.89 / $329.30 / $517.00	Professional		$279.89	$329.30	$517.00