Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.00 / $2,912.34 / $7,119.04	Facility		$1,264.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $251.04 / $984.81	Professional		$148.11	$251.04	$984.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.56 / $501.26 / $689.50	Professional		$323.56	$501.26	$689.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $315.82 / $692.81	Professional		$150.00	$315.82	$692.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.45 / $502.23 / $1,970.00	Facility		$243.45	$502.23	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $501.51 / $1,798.72	Professional		$262.14	$501.51	$1,798.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $342.07 / $564.48 / $917.51	Facility		$342.07	$564.48	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $483.87 / $670.96	Professional		$324.00	$483.87	$670.96
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 $239.36 / $364.74 / $742.08	Professional		$239.36	$364.74	$742.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $301.60 / $361.98 / $539.10	Professional		$301.60	$361.98	$539.10