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 $177.54 / $333.91 / $1,158.25	Professional		$177.54	$333.91	$1,158.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.68 / $440.97 / $551.21	Professional		$265.68	$440.97	$551.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.26 / $199.66 / $635.05	Professional		$140.26	$199.66	$635.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.47 / $564.30 / $9,874.90	Facility		$271.47	$564.30	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.04 / $386.00 / $622.16	Professional		$220.04	$386.00	$622.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $347.33 / $622.16 / $3,123.31	Facility		$347.33	$622.16	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $417.76 / $573.54	Professional		$299.44	$417.76	$573.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $294.70 / $557.67	Professional		$199.50	$294.70	$557.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $395.90 / $425.70	Professional		$285.89	$395.90	$425.70