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 $163.91 / $276.39 / $431.57	Professional		$163.91	$276.39	$431.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.25 / $504.47 / $824.87	Professional		$360.25	$504.47	$824.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $373.28 / $874.49	Professional		$176.28	$373.28	$874.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.64 / $463.14 / $798.22	Facility		$271.64	$463.14	$798.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.50 / $517.04 / $1,843.25	Professional		$278.50	$517.04	$1,843.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $410.94 / $709.94	Facility		$229.86	$410.94	$709.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.83 / $491.01 / $720.36	Professional		$361.83	$491.01	$720.36
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 $263.54 / $422.07 / $817.05	Professional		$263.54	$422.07	$817.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $349.80 / $411.50 / $653.79	Professional		$349.80	$411.50	$653.79