Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.39 / $203.86 / $809.95	Professional		$190.39	$203.86	$809.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $373.97 / $581.40	Professional		$198.16	$373.97	$581.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $264.80 / $530.28	Professional		$132.46	$264.80	$530.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.86 / $358.12 / $1,607.00	Facility		$203.86	$358.12	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $363.36 / $2,089.00	Professional		$227.28	$363.36	$2,089.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $432.36 / $639.28	Facility		$293.31	$432.36	$639.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.81 / $414.58 / $560.08	Professional		$257.81	$414.58	$560.08
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 $214.61 / $317.33 / $645.62	Professional		$214.61	$317.33	$645.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.90 / $281.10 / $426.20	Professional		$238.90	$281.10	$426.20