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 $153.15 / $263.54 / $476.38	Professional		$153.15	$263.54	$476.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $483.04 / $766.24	Professional		$322.45	$483.04	$766.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $361.02 / $530.92	Professional		$154.38	$361.02	$530.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.54 / $476.38 / $3,258.00	Facility		$263.54	$476.38	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.83 / $532.00 / $1,678.96	Professional		$283.83	$532.00	$1,678.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $322.45 / $590.85 / $1,274.90	Facility		$322.45	$590.85	$1,274.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $473.92 / $741.45	Professional		$322.45	$473.92	$741.45
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 $272.48 / $433.78 / $807.91	Professional		$272.48	$433.78	$807.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.10 / $389.60 / $681.80	Professional		$331.10	$389.60	$681.80