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 $135.84 / $219.18 / $500.48	Professional		$135.84	$219.18	$500.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.61 / $425.58 / $630.10	Professional		$281.61	$425.58	$630.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $293.05 / $421.13	Professional		$138.94	$293.05	$421.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.22 / $387.74 / $2,999.21	Facility		$233.22	$387.74	$2,999.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $415.80 / $1,435.69	Professional		$218.77	$415.80	$1,435.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $237.19 / $365.94 / $545.65	Facility		$237.19	$365.94	$545.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $297.14 / $399.29 / $556.44	Professional		$297.14	$399.29	$556.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $314.02 / $592.66	Professional		$206.74	$314.02	$592.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $340.50 / $495.30	Professional		$289.39	$340.50	$495.30