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 $155.84 / $238.30 / $907.95	Professional		$155.84	$238.30	$907.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.38 / $377.08 / $471.36	Professional		$237.38	$377.08	$471.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.84 / $265.10 / $533.38	Professional		$151.84	$265.10	$533.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.04 / $352.30 / $1,607.00	Facility		$194.04	$352.30	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.68 / $363.56 / $1,168.40	Professional		$200.68	$363.56	$1,168.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $388.64 / $550.62	Facility		$325.00	$388.64	$550.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $387.45 / $508.91	Professional		$298.00	$387.45	$508.91
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 $185.24 / $250.85 / $456.02	Professional		$185.24	$250.85	$456.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $250.11 / $316.60 / $372.50	Professional		$250.11	$316.60	$372.50