Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,758.06 / $7,119.04	Facility		$2,218.00	$3,758.06	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $248.91 / $456.81	Professional		$148.13	$248.91	$456.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.85 / $470.74 / $766.44	Professional		$322.85	$470.74	$766.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $349.53 / $558.72	Professional		$154.66	$349.53	$558.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.65 / $434.74 / $3,396.00	Facility		$247.65	$434.74	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.62 / $498.56 / $1,758.10	Professional		$279.62	$498.56	$1,758.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $342.79 / $577.87 / $1,311.70	Facility		$342.79	$577.87	$1,311.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $305.88 / $467.74 / $703.19	Professional		$305.88	$467.74	$703.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $396.32 / $738.15	Professional		$252.80	$396.32	$738.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.30 / $355.60 / $599.50	Professional		$302.30	$355.60	$599.50