Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $15,135.61	Facility		$1,023.29	$4,265.80	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $3,235.94	Professional		$616.60	$933.25	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,454.71	Professional		$1,584.89	$1,949.84	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $2,570.40	Professional		$630.96	$1,122.02	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,995.26 / $9,332.54	Facility		$977.24	$1,995.26	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,818.38	Professional		$954.99	$1,621.81	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,290.87	Professional		$1,513.56	$1,862.09	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,715.19	Facility		$4,786.30	$7,762.47	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,089.30	Professional		$758.58	$1,122.02	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,778.28	Professional		$1,202.26	$1,445.44	$1,778.28