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 $110.73 / $265.64 / $717.42	Professional		$110.73	$265.64	$717.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.96 / $336.96 / $812.21	Professional		$176.96	$336.96	$812.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $272.67 / $583.92	Professional		$110.50	$272.67	$583.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $512.91 / $1,371.00	Facility		$254.00	$512.91	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $506.26 / $1,051.46	Professional		$288.14	$506.26	$1,051.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $317.33 / $694.98	Facility		$249.33	$317.33	$694.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $494.33 / $766.24	Professional		$254.00	$494.33	$766.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.13 / $419.25 / $793.30	Professional		$275.13	$419.25	$793.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $258.89 / $611.90	Professional		$220.00	$258.89	$611.90