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 $122.81 / $183.28 / $294.25	Professional		$122.81	$183.28	$294.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $354.49 / $503.49	Professional		$257.70	$354.49	$503.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $228.81 / $490.76	Professional		$122.22	$228.81	$490.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.28 / $335.37 / $1,724.14	Facility		$183.28	$335.37	$1,724.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $349.57 / $962.16	Professional		$184.32	$349.57	$962.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $318.83 / $466.88	Facility		$153.97	$318.83	$466.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $271.55 / $357.00 / $495.54	Professional		$271.55	$357.00	$495.54
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 $172.13 / $262.29 / $491.79	Professional		$172.13	$262.29	$491.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $301.20 / $413.70	Professional		$256.10	$301.20	$413.70