Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,981.07 / $6,760.83	Facility		$1,412.54	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $2,344.23	Professional		$741.31	$954.99	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,691.53	Professional		$2,137.96	$2,238.72	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $3,981.07	Professional		$851.14	$1,318.26	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $10,232.93	Facility		$1,148.15	$3,090.30	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,818.38	Professional		$954.99	$1,584.89	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,884.03	Professional		$1,905.46	$2,290.87	$2,884.03
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 $912.01 / $1,288.25 / $2,454.71	Professional		$912.01	$1,288.25	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $1,995.26	Professional		$1,318.26	$1,698.24	$1,995.26