Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.00 / $2,912.34 / $7,119.04	Facility		$1,114.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $314.48 / $868.95	Professional		$147.27	$314.48	$868.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.77 / $546.01 / $938.82	Professional		$348.77	$546.01	$938.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $425.93 / $791.21	Professional		$152.90	$425.93	$791.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.76 / $544.22 / $1,970.00	Facility		$254.76	$544.22	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $681.90 / $2,441.77	Professional		$350.80	$681.90	$2,441.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $351.53 / $716.91 / $946.19	Facility		$351.53	$716.91	$946.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $608.00 / $946.19	Professional		$350.80	$608.00	$946.19
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 $344.62 / $529.63 / $993.06	Professional		$344.62	$529.63	$993.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.30 / $490.27 / $730.10	Professional		$309.30	$490.27	$730.10