Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $6,760.83	Facility		$1,202.26	$3,548.13	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,951.21	Professional		$724.44	$1,071.52	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,754.23	Professional		$1,737.80	$2,187.76	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $2,187.76	Professional		$724.44	$1,230.27	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,137.96 / $5,495.41	Facility		$1,071.52	$2,137.96	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $2,884.03	Professional		$954.99	$1,819.70	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,511.89	Professional		$1,584.89	$2,041.74	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $6,760.83	Facility		$2,691.53	$5,011.87	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,290.87	Professional		$831.76	$1,202.26	$2,290.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,949.84	Professional		$1,318.26	$1,659.59	$1,949.84