Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.89 / $1,134.20 / $1,496.87	Professional		$712.89	$1,134.20	$1,496.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.76 / $1,980.68 / $2,540.84	Professional		$1,474.76	$1,980.68	$2,540.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $721.27 / $1,259.43 / $2,227.84	Professional		$721.27	$1,259.43	$2,227.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,068.98 / $1,916.80 / $3,552.91	Facility		$1,068.98	$1,916.80	$3,552.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,002.65 / $1,891.96 / $6,495.04	Professional		$1,002.65	$1,891.96	$6,495.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $623.89 / $1,785.00 / $2,355.30	Facility		$623.89	$1,785.00	$2,355.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,528.86 / $1,911.59 / $2,355.30	Professional		$1,528.86	$1,911.59	$2,355.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $915.46 / $1,394.99 / $2,704.13	Professional		$915.46	$1,394.99	$2,704.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,355.17 / $1,630.80 / $2,018.10	Professional		$1,355.17	$1,630.80	$2,018.10