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 $138.61 / $260.61 / $609.00	Professional		$138.61	$260.61	$609.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $345.14 / $456.75	Professional		$163.55	$345.14	$456.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.79 / $196.13 / $386.88	Professional		$134.79	$196.13	$386.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $397.53 / $6,226.87	Facility		$242.00	$397.53	$6,226.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.08 / $348.83 / $1,114.40	Professional		$180.08	$348.83	$1,114.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $326.05 / $421.55	Facility		$143.04	$326.05	$421.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $348.83 / $475.52	Professional		$242.00	$348.83	$475.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $240.11 / $488.52	Professional		$165.08	$240.11	$488.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $235.58 / $309.00 / $350.80	Professional		$235.58	$309.00	$350.80