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 $163.12 / $177.59 / $664.98	Professional		$163.12	$177.59	$664.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $319.43 / $517.63	Professional		$194.83	$319.43	$517.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $242.16 / $349.44	Professional		$112.02	$242.16	$349.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.12 / $306.29 / $1,607.00	Facility		$163.12	$306.29	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $328.00 / $1,236.00	Professional		$206.00	$328.00	$1,236.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.03 / $283.98 / $490.77	Facility		$214.03	$283.98	$490.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.63 / $331.14 / $512.10	Professional		$230.63	$331.14	$512.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.49 / $268.94 / $569.64	Professional		$192.49	$268.94	$569.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $203.90 / $239.90 / $419.20	Professional		$203.90	$239.90	$419.20