Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $159.72 / $632.71	Professional		$157.59	$159.72	$632.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.90 / $294.11 / $492.78	Professional		$167.90	$294.11	$492.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $232.38 / $468.38	Professional		$104.69	$232.38	$468.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.59 / $279.83 / $1,607.00	Facility		$157.59	$279.83	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $305.20 / $1,775.00	Professional		$196.56	$305.20	$1,775.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $373.88 / $539.13	Facility		$232.18	$373.88	$539.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.71 / $322.23 / $477.21	Professional		$218.71	$322.23	$477.21
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 $182.79 / $256.38 / $491.50	Professional		$182.79	$256.38	$491.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $222.50 / $361.30	Professional		$189.10	$222.50	$361.30