Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.36 / $355.49 / $494.85	Professional		$216.36	$355.49	$494.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.29 / $649.94 / $894.02	Professional		$455.29	$649.94	$894.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $235.80 / $445.41 / $964.11	Professional		$235.80	$445.41	$964.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $328.37 / $609.29 / $851.50	Facility		$328.37	$609.29	$851.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.50 / $616.77 / $2,602.00	Professional		$326.50	$616.77	$2,602.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $580.96 / $805.99	Facility		$207.58	$580.96	$805.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $453.77 / $607.08 / $817.82	Professional		$453.77	$607.08	$817.82
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 $300.58 / $458.03 / $853.08	Professional		$300.58	$458.03	$853.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $468.50 / $551.10 / $732.30	Professional		$468.50	$551.10	$732.30