Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $6,606.93 / $8,128.31	Facility		$1,348.96	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $2,137.96	Professional		$758.58	$891.25	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,454.71	Professional		$1,584.89	$1,995.26	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,818.38	Professional		$758.58	$1,122.02	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $8,128.31	Facility		$1,122.02	$2,137.96	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $8,511.38	Professional		$891.25	$1,698.24	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,290.87	Professional		$1,737.80	$2,089.30	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,290.87	Professional		$1,621.81	$1,778.28	$2,290.87
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 $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 $1,288.25 / $1,621.81 / $1,905.46	Professional		$1,288.25	$1,621.81	$1,905.46