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 $179.54 / $230.71 / $418.65	Professional		$179.54	$230.71	$418.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.86 / $503.52 / $635.94	Professional		$369.86	$503.52	$635.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $307.98 / $563.36	Professional		$187.72	$307.98	$563.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $459.36 / $636.54	Facility		$238.54	$459.36	$636.54
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $635.79 / $635.79 / $635.79	Facility	54	$635.79	$635.79	$635.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.71 / $459.36 / $1,551.27	Professional		$230.71	$459.36	$1,551.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $438.05 / $592.63	Facility		$207.58	$438.05	$592.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $356.50 / $481.79 / $592.63	Professional		$356.50	$481.79	$592.63
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 $210.65 / $320.99 / $597.85	Professional		$210.65	$320.99	$597.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $335.59 / $424.80 / $499.80	Professional		$335.59	$424.80	$499.80