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 $164.11 / $210.75 / $608.30	Professional		$164.11	$210.75	$608.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.06 / $294.25 / $630.91	Professional		$229.06	$294.25	$630.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.64 / $284.02 / $462.88	Professional		$101.64	$284.02	$462.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.09 / $560.85 / $4,146.27	Facility		$247.09	$560.85	$4,146.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.73 / $471.68 / $912.67	Professional		$238.73	$471.68	$912.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $246.24 / $562.49 / $1,207.40	Facility		$246.24	$562.49	$1,207.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.87 / $341.00 / $626.91	Professional		$233.87	$341.00	$626.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $509.27 / $745.37	Professional		$243.61	$509.27	$745.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $257.50 / $545.60	Professional		$218.90	$257.50	$545.60