Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $6,760.83	Facility		$1,148.15	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,778.28	Professional		$660.69	$870.96	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $2,570.40	Professional		$1,047.13	$1,862.09	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,584.89	Professional		$562.34	$1,023.29	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $4,677.35	Facility		$741.31	$1,737.80	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,621.81 / $5,248.07	Professional		$776.25	$1,621.81	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $2,187.76	Professional		$1,258.93	$1,862.09	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,041.74	Professional		$1,258.93	$1,584.89	$2,041.74
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 $676.08 / $1,023.29 / $2,041.74	Professional		$676.08	$1,023.29	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $1,905.46	Professional		$1,288.25	$1,584.89	$1,905.46