Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,981.07 / $6,760.83	Facility		$1,096.48	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $2,041.74	Professional		$645.65	$794.33	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $2,041.74	Professional		$933.25	$1,621.81	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,778.28	Professional		$489.78	$870.96	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,819.70 / $7,079.46	Facility		$724.44	$1,819.70	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,230.27 / $5,128.61	Professional		$588.84	$1,230.27	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,584.89 / $1,862.09	Professional		$851.14	$1,584.89	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,445.44	Professional		$1,318.26	$1,412.54	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $7,762.47	Facility		$3,162.28	$5,495.41	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,905.46	Professional		$562.34	$933.25	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,621.81	Professional		$1,071.52	$1,380.38	$1,621.81