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 $118.99 / $254.97 / $721.90	Professional		$118.99	$254.97	$721.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $334.04 / $690.07	Professional		$179.45	$334.04	$690.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.36 / $255.01 / $446.10	Professional		$109.36	$255.01	$446.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.64 / $466.12 / $1,371.00	Facility		$249.64	$466.12	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $456.24 / $1,000.02	Professional		$268.38	$456.24	$1,000.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $317.33 / $663.14	Facility		$249.33	$317.33	$663.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $249.64 / $448.15 / $731.27	Professional		$249.64	$448.15	$731.27
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 $268.38 / $390.37 / $769.28	Professional		$268.38	$390.37	$769.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.20 / $254.40 / $570.40	Professional		$216.20	$254.40	$570.40