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 $153.27 / $288.08 / $458.78	Professional		$153.27	$288.08	$458.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.56 / $427.23 / $746.96	Professional		$193.56	$427.23	$746.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $270.00 / $654.08	Professional		$150.00	$270.00	$654.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.66 / $510.89 / $1,371.00	Facility		$294.66	$510.89	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.58 / $464.33 / $1,234.48	Professional		$287.58	$464.33	$1,234.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $384.60 / $643.64	Facility		$249.33	$384.60	$643.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $341.28 / $467.29 / $703.78	Professional		$341.28	$467.29	$703.78
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 $258.67 / $345.45 / $716.32	Professional		$258.67	$345.45	$716.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $365.70 / $567.40	Professional		$310.80	$365.70	$567.40