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 $139.69 / $218.13 / $828.67	Professional		$139.69	$218.13	$828.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.67 / $337.35 / $421.69	Professional		$218.67	$337.35	$421.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $238.09 / $481.79	Professional		$139.41	$238.09	$481.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.66 / $327.51 / $1,607.00	Facility		$186.66	$327.51	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $327.51 / $1,072.00	Professional		$179.74	$327.51	$1,072.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $355.48 / $496.40	Facility		$294.00	$355.48	$496.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $349.34 / $467.20	Professional		$269.00	$349.34	$467.20
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 $166.72 / $239.01 / $433.93	Professional		$166.72	$239.01	$433.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $224.83 / $284.60 / $334.80	Professional		$224.83	$284.60	$334.80