Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $432.83 / $536.63	Professional		$230.24	$432.83	$536.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $572.85 / $882.33	Professional		$289.83	$572.85	$882.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.91 / $368.94 / $801.61	Professional		$221.91	$368.94	$801.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.30 / $710.63 / $3,258.00	Facility		$406.30	$710.63	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.29 / $638.95 / $2,726.00	Professional		$353.29	$638.95	$2,726.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $280.73 / $575.92 / $761.47	Facility		$280.73	$575.92	$761.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $483.96 / $642.63 / $816.67	Professional		$483.96	$642.63	$816.67
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 $320.86 / $484.57 / $958.39	Professional		$320.86	$484.57	$958.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $454.72 / $548.10 / $677.20	Professional		$454.72	$548.10	$677.20