Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $2,912.34 / $7,119.04	Facility		$1,190.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $287.70 / $899.84	Professional		$132.13	$287.70	$899.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $442.56 / $896.94	Professional		$310.05	$442.56	$896.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $402.55 / $799.29	Professional		$142.19	$402.55	$799.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.25 / $594.27 / $1,970.00	Facility		$231.25	$594.27	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $610.53 / $2,313.60	Professional		$310.05	$610.53	$2,313.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.06 / $694.37 / $921.98	Facility		$338.06	$694.37	$921.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $565.41 / $876.41	Professional		$310.05	$565.41	$876.41
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 $305.27 / $465.17 / $871.16	Professional		$305.27	$465.17	$871.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $465.94 / $693.80	Professional		$273.39	$465.94	$693.80