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 $154.22 / $265.47 / $492.47	Professional		$154.22	$265.47	$492.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.70 / $485.96 / $792.65	Professional		$325.70	$485.96	$792.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $155.32 / $396.29 / $695.24	Professional		$155.32	$396.29	$695.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.47 / $492.47 / $4,910.83	Facility		$265.47	$492.47	$4,910.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $565.22 / $1,916.21	Professional		$301.02	$565.22	$1,916.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.70 / $611.04 / $2,197.38	Facility		$325.70	$611.04	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.70 / $509.41 / $792.65	Professional		$325.70	$509.41	$792.65
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 $288.35 / $459.26 / $862.32	Professional		$288.35	$459.26	$862.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $333.10 / $391.80 / $704.40	Professional		$333.10	$391.80	$704.40