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 $221.75 / $371.44 / $1,350.35	Professional		$221.75	$371.44	$1,350.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.11 / $528.39 / $690.48	Professional		$256.11	$528.39	$690.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $302.48 / $590.12	Professional		$175.54	$302.48	$590.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $560.97 / $1,371.00	Facility		$365.00	$560.97	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.36 / $510.97 / $1,592.56	Professional		$275.36	$510.97	$1,592.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.42 / $475.25 / $644.94	Facility		$204.42	$475.25	$644.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $366.10 / $500.19 / $654.91	Professional		$366.10	$500.19	$654.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $367.15 / $681.60	Professional		$250.78	$367.15	$681.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $365.53 / $462.70 / $544.40	Professional		$365.53	$462.70	$544.40