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 $154.11 / $255.04 / $399.73	Professional		$154.11	$255.04	$399.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.13 / $462.59 / $719.66	Professional		$335.13	$462.59	$719.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $338.24 / $455.87	Professional		$154.94	$338.24	$455.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.04 / $419.15 / $2,999.21	Facility		$255.04	$419.15	$2,999.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.58 / $496.50 / $1,691.16	Professional		$270.58	$496.50	$1,691.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $276.62 / $388.23 / $637.73	Facility		$276.62	$388.23	$637.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $330.56 / $473.00 / $676.95	Professional		$330.56	$473.00	$676.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $4,869.67	Facility		$1,775.00	$3,482.00	$4,869.67
United Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $382.24 / $711.92	Professional		$250.85	$382.24	$711.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $371.50 / $573.00	Professional		$315.70	$371.50	$573.00