Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,031.34 / $3,031.34 / $3,065.30	Facility		$3,031.34	$3,031.34	$3,065.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $65.48 / $281.79	Professional		$45.20	$65.48	$281.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $87.24 / $278.13	Professional		$69.79	$87.24	$278.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $53.55 / $288.06	Professional		$34.18	$53.55	$288.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $239.83 / $1,914.00	Facility		$86.58	$239.83	$1,914.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $243.49 / $502.25	Professional		$99.68	$243.49	$502.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $130.49 / $301.33	Facility		$86.58	$130.49	$301.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $138.43 / $301.33	Professional		$86.58	$138.43	$301.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $257.05 / $360.51	Professional		$132.96	$257.05	$360.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $73.40 / $86.40	Professional		$57.99	$73.40	$86.40