Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,981.07 / $6,760.83	Facility		$1,445.44	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $2,238.72	Professional		$831.76	$954.99	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,630.27	Professional		$1,621.81	$2,089.30	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $9,549.93	Professional		$831.76	$1,258.93	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $14,454.40	Facility		$1,230.27	$2,290.87	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,819.70 / $8,317.64	Professional		$912.01	$1,819.70	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,454.71	Professional		$1,819.70	$2,089.30	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,454.71	Professional		$1,621.81	$1,819.70	$2,454.71
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 $870.96 / $1,318.26 / $2,570.40	Professional		$870.96	$1,318.26	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,089.30	Professional		$1,412.54	$1,778.28	$2,089.30