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 $164.57 / $188.94 / $404.43	Professional		$164.57	$188.94	$404.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $404.41 / $504.47	Professional		$351.00	$404.41	$504.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.94 / $276.14 / $715.32	Professional		$169.94	$276.14	$715.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.26 / $414.52 / $1,607.00	Facility		$255.26	$414.52	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.34 / $361.15 / $1,665.00	Professional		$189.34	$361.15	$1,665.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $332.77 / $416.53 / $552.69	Facility		$332.77	$416.53	$552.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.31 / $387.92 / $542.16	Professional		$277.31	$387.92	$542.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $275.94 / $516.29	Professional		$180.71	$275.94	$516.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.26 / $342.10 / $402.40	Professional		$270.26	$342.10	$402.40