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 $236.71 / $334.17 / $422.21	Professional		$236.71	$334.17	$422.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.01 / $681.71 / $852.14	Professional		$526.01	$681.71	$852.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.62 / $508.18 / $1,193.52	Professional		$305.62	$508.18	$1,193.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $765.90 / $2,675.80	Facility		$379.03	$765.90	$2,675.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.48 / $605.41 / $4,278.02	Professional		$280.48	$605.41	$4,278.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $590.13 / $768.73 / $921.98	Facility		$590.13	$768.73	$921.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.27 / $602.29 / $787.75	Professional		$403.27	$602.29	$787.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.82 / $423.36 / $815.52	Professional		$267.82	$423.36	$815.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $508.52 / $643.70 / $757.30	Professional		$508.52	$643.70	$757.30