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 $132.55 / $228.38 / $344.29	Professional		$132.55	$228.38	$344.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $347.08 / $568.74	Professional		$152.44	$347.08	$568.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.38 / $214.41 / $393.26	Professional		$124.38	$214.41	$393.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.60 / $448.23 / $5,857.27	Facility		$229.60	$448.23	$5,857.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.74 / $344.95 / $978.96	Professional		$219.74	$344.95	$978.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $458.24 / $2,308.21	Facility		$304.81	$458.24	$2,308.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $260.36 / $364.08 / $527.24	Professional		$260.36	$364.08	$527.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.41 / $292.99 / $549.12	Professional		$197.41	$292.99	$549.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $290.70 / $432.40	Professional		$247.10	$290.70	$432.40