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 $271.95 / $332.17 / $490.93	Professional		$271.95	$332.17	$490.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.28 / $715.99 / $853.11	Professional		$479.28	$715.99	$853.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.04 / $444.61 / $686.87	Professional		$275.04	$444.61	$686.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.14 / $654.55 / $847.48	Facility		$347.14	$654.55	$847.48
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $972.78 / $972.78 / $972.78	Facility	54	$972.78	$972.78	$972.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.89 / $639.92 / $2,216.40	Professional		$313.89	$639.92	$2,216.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $646.00 / $837.00	Facility		$207.58	$646.00	$837.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.92 / $691.74 / $837.00	Professional		$459.92	$691.74	$837.00
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 $297.81 / $453.81 / $832.52	Professional		$297.81	$453.81	$832.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $486.72 / $616.10 / $724.80	Professional		$486.72	$616.10	$724.80