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 $154.99 / $265.49 / $339.93	Professional		$154.99	$265.49	$339.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.37 / $453.15 / $581.28	Professional		$299.37	$453.15	$581.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $280.75 / $690.11	Professional		$163.19	$280.75	$690.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.49 / $421.30 / $1,213.26	Facility		$265.49	$421.30	$1,213.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $397.32 / $1,271.59	Professional		$208.12	$397.32	$1,271.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $362.27 / $453.15 / $581.28	Facility		$362.27	$453.15	$581.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $406.71 / $538.23	Professional		$290.66	$406.71	$538.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.02 / $302.72 / $563.82	Professional		$195.02	$302.72	$563.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $337.60 / $397.10 / $505.10	Professional		$337.60	$397.10	$505.10