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 $145.85 / $246.89 / $391.05	Professional		$145.85	$246.89	$391.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.60 / $450.90 / $735.05	Professional		$325.60	$450.90	$735.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $341.15 / $620.97	Professional		$157.34	$341.15	$620.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.89 / $414.74 / $742.36	Facility		$246.89	$414.74	$742.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.26 / $467.53 / $1,682.01	Professional		$258.26	$467.53	$1,682.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $412.00 / $643.53	Facility		$229.86	$412.00	$643.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $322.01 / $467.53 / $652.97	Professional		$322.01	$467.53	$652.97
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 $237.84 / $362.42 / $674.10	Professional		$237.84	$362.42	$674.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $366.90 / $591.90	Professional		$311.89	$366.90	$591.90