Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,981.07 / $6,760.83	Facility		$1,348.96	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,344.23	Professional		$758.58	$977.24	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,454.71	Professional		$1,445.44	$1,995.26	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,754.23	Professional		$691.83	$1,174.90	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,698.24 / $5,128.61	Facility		$870.96	$1,698.24	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $6,456.54	Professional		$831.76	$1,584.89	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,398.83	Professional		$1,445.44	$1,995.26	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,238.72	Professional		$1,659.59	$1,659.59	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,238.72	Professional		$794.33	$1,122.02	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,089.30	Professional		$1,380.38	$1,778.28	$2,089.30