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 $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.41 / $384.70 / $1,340.48	Professional		$193.41	$384.70	$1,340.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.11 / $137.29 / $286.10	Professional		$126.11	$137.29	$286.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $195.72 / $1,743.52	Facility		$45.89	$195.72	$1,743.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $437.16 / $1,340.48	Professional		$219.78	$437.16	$1,340.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $437.16 / $1,476.18	Facility		$219.78	$437.16	$1,476.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $437.16 / $1,436.40	Professional		$219.78	$437.16	$1,436.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $230.40 / $271.10	Professional		$182.02	$230.40	$271.10