Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $6,760.83	Facility		$1,380.38	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $2,187.76	Professional		$776.25	$912.01	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,570.40	Professional		$1,548.82	$2,041.74	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,754.23	Professional		$794.33	$1,202.26	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $14,791.08	Facility		$1,380.38	$2,290.87	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $7,943.28	Professional		$891.25	$1,698.24	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,344.23	Professional		$1,698.24	$2,041.74	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,344.23	Professional		$1,659.59	$1,659.59	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,964.78 / $15,848.93	Facility		$7,413.10	$10,964.78	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,454.71	Professional		$851.14	$1,258.93	$2,454.71
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