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 $93.50 / $168.85 / $318.41	Professional		$93.50	$168.85	$318.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $272.69 / $522.00	Professional		$131.88	$272.69	$522.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $177.23 / $487.98	Professional		$90.66	$177.23	$487.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.15 / $402.08 / $4,645.00	Facility		$208.15	$402.08	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $328.18 / $847.00	Professional		$196.94	$328.18	$847.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $402.08 / $991.94	Facility		$224.16	$402.08	$991.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $323.64 / $505.28	Professional		$208.15	$323.64	$505.28
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 $183.27 / $266.58 / $499.83	Professional		$183.27	$266.58	$499.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $212.10 / $396.80	Professional		$180.30	$212.10	$396.80