Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.06 / $419.49 / $425.58	Professional		$245.06	$419.49	$425.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.08 / $614.08 / $738.20	Professional		$534.08	$614.08	$738.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $253.23 / $436.52 / $1,222.16	Professional		$253.23	$436.52	$1,222.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $425.58 / $658.67 / $1,623.00	Facility		$425.58	$658.67	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.76 / $552.09 / $3,477.23	Professional		$288.76	$552.09	$3,477.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $490.07 / $632.49 / $845.76	Facility		$490.07	$632.49	$845.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $420.29 / $596.79 / $817.76	Professional		$420.29	$596.79	$817.76
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 $275.64 / $420.02 / $836.98	Professional		$275.64	$420.02	$836.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $415.70 / $526.20 / $619.10	Professional		$415.70	$526.20	$619.10