Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $245.56 / $407.54	Professional		$151.09	$245.56	$407.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $440.19 / $704.27	Professional		$320.02	$440.19	$704.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $331.49 / $440.25	Professional		$153.69	$331.49	$440.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.56 / $415.00 / $2,999.21	Facility		$245.56	$415.00	$2,999.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $487.03 / $1,697.26	Professional		$272.95	$487.03	$1,697.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $409.27 / $650.92	Facility		$286.33	$409.27	$650.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $313.06 / $452.22 / $686.34	Professional		$313.06	$452.22	$686.34
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 $250.97 / $386.90 / $725.43	Professional		$250.97	$386.90	$725.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $301.60 / $354.90 / $576.79	Professional		$301.60	$354.90	$576.79