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 $298.79 / $560.47 / $649.41	Professional		$298.79	$560.47	$649.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.53 / $751.83 / $939.79	Professional		$339.53	$751.83	$939.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.80 / $416.79 / $774.79	Professional		$239.80	$416.79	$774.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $466.12 / $761.05 / $1,371.00	Facility		$466.12	$761.05	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $366.39 / $739.00 / $2,413.60	Professional		$366.39	$739.00	$2,413.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $653.55 / $873.12	Facility		$249.33	$653.55	$873.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $496.30 / $743.27 / $969.85	Professional		$496.30	$743.27	$969.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,640.00 / $3,560.25	Facility		$1,026.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $340.34 / $495.04 / $928.20	Professional		$340.34	$495.04	$928.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $492.57 / $669.10 / $733.50	Professional		$492.57	$669.10	$733.50