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 $134.91 / $253.38 / $899.04	Professional		$134.91	$253.38	$899.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $385.52 / $629.12	Professional		$168.78	$385.52	$629.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $238.65 / $403.85	Professional		$138.44	$238.65	$403.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.85 / $466.12 / $1,371.00	Facility		$287.85	$466.12	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $394.93 / $1,088.72	Professional		$242.88	$394.93	$1,088.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $235.58 / $340.00 / $540.78	Facility		$235.58	$340.00	$540.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $300.24 / $397.99 / $591.97	Professional		$300.24	$397.99	$591.97
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 $222.64 / $323.83 / $605.08	Professional		$222.64	$323.83	$605.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.50 / $324.10 / $478.40	Professional		$275.50	$324.10	$478.40