Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,235.94 / $6,760.83	Facility		$1,202.26	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,862.09	Professional		$676.08	$776.25	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,187.76	Professional		$1,318.26	$1,737.80	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $2,398.83	Professional		$676.08	$1,047.13	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $8,128.31	Facility		$1,202.26	$1,949.84	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,445.44 / $7,079.46	Professional		$758.58	$1,445.44	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $1,995.26	Professional		$1,445.44	$1,737.80	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,995.26	Professional		$1,412.54	$1,513.56	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,089.30	Professional		$724.44	$1,096.48	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,698.24	Professional		$1,148.15	$1,445.44	$1,698.24