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 $195.35 / $205.65 / $781.16	Professional		$195.35	$205.65	$781.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.82 / $364.23 / $630.10	Professional		$213.82	$364.23	$630.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $267.14 / $383.68	Professional		$128.29	$267.14	$383.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.35 / $350.88 / $1,607.00	Facility		$195.35	$350.88	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.48 / $377.00 / $2,473.00	Professional		$239.48	$377.00	$2,473.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $318.23 / $542.36	Facility		$224.98	$318.23	$542.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $390.40 / $587.15	Professional		$275.81	$390.40	$587.15
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 $207.19 / $282.08 / $523.61	Professional		$207.19	$282.08	$523.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.60 / $274.80 / $460.30	Professional		$233.60	$274.80	$460.30