Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,981.07 / $6,760.83	Facility		$1,174.90	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,737.80	Professional		$630.96	$776.25	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,187.76	Professional		$1,318.26	$1,737.80	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $4,265.80	Professional		$660.69	$1,023.29	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,949.84 / $7,943.28	Facility		$954.99	$1,949.84	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,380.38 / $6,760.83	Professional		$758.58	$1,380.38	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,041.74	Professional		$1,445.44	$1,698.24	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $2,041.74	Professional		$1,348.96	$1,380.38	$2,041.74
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 $707.95 / $1,071.52 / $2,089.30	Professional		$707.95	$1,071.52	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,737.80	Professional		$1,148.15	$1,479.11	$1,737.80