Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $6,760.83	Facility		$1,148.15	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,905.46	Professional		$645.65	$870.96	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,570.40	Professional		$1,659.59	$2,041.74	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,454.71	Professional		$691.83	$1,174.90	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $9,332.54	Facility		$1,023.29	$2,041.74	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,754.23	Professional		$954.99	$1,698.24	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,344.23	Professional		$1,584.89	$1,905.46	$2,344.23
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 $794.33 / $1,148.15 / $2,187.76	Professional		$794.33	$1,148.15	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,819.70	Professional		$1,230.27	$1,548.82	$1,819.70